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Company Name
Street Address 1
Street Address 2
City
State, Zip & Country , &
Parent Company Name
Address 2
ICAO/IATA
Name
Position
Phone
Cellular
Fax
Email
Website
Stock Ticker
D&B #
County of Incorporation
Number of Years in Business
Annual Revenues (USD)
Company Registration Number
Federal ID Number
VAT / IVA / TVA Number
Type of Company
Proprietorship
Partnership
Corporation
Accounting
Company Ownership Details
Name, Title, Phone and Email of Credit Contact
Bank Name
Bank Address
Bank Contact & Phone Number
Aircraft Type of Operation -Select One- Aircraft Leasing Aircraft Management Aircraft Manufacturer Cargo Corporate Jet Charter FBO Corporate Flight Department Private Flight Department Fractional Ownership Fuel Reselling Military Presidential Government Other Air Ambulance Aerial Firefighting Aerial Mapping Aerial Refueling Crop Dusting Helicopter Charter Sports Charter Other
Requested Line of Credit
Requested Terms of Payment
Are any aircraft operated under an AOC(applies to EU Countries)?
Yes No
Currency for Billing & Payment
USD GBP CAD EURO
Billing Unit of Measure
USG Liters Metric Tons
Special Payment Comments
Comments/Additional Information
Trade References (2) Note: (Company Name, Address and Contact Information)Please do not reference other charge cards.
Tail Number
Type of Aircraft (Make and Model)
Owned or Leased?
Owned Leased
Owner’s Name
Home Base Airport (IATA / ICAO)
Expected Monthly Fuel Consumption
Special Handling Requirements
Would you like your AVCARDS issued by Aircraft Other
Quantity of Cards Needed 0 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20
Please send cards to Flight Department Accounting
Please send Management Reports To Flight Department Accounting
Contact Name
Phone / Fax
Email Address
User Name
Require access to
Fuel Quoting Invoicing & Reporting
Typical Destinations Served
Seasonal / Non-Seasonal
Seasonal Non-Seasonal
Major Partners/Customers/Managed Customers
Key Suppliers
How did you hear about us?
Internet FBO Display Another Pilot Sales Executive Other
Comments / Additional Information
By signing this application you agree to World Fuel and AVCARD's standard terms and conditions which are stated on every invoice and are provided as links below.
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Business Aviation Terms & Conditions | AVCARD Terms & Conditions
