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About You...
Purchase Order No. if applicable:
Title:
*First Name:
*Last Name:
e-Mail:

Delivery Address
*Address Line 1:
Address Line 2:
Address Line 3:
*Postcode:

Invoice Address
Address Line 1:
Address Line 2:
Address Line 3:
Postcode:
Do you want to collect your cover?  YESNO
 
TEL: Country Code Area Code Number
FAX: Country Code Area Code Number
MOBILE: Country Code Area Code Number
 
Prefered contact method: 


About Your Aircraft...
Aircraft Manufacturer (e.g Piper):
Type Name (e.g Cherokee):
Model Name or Designation (e.g PA28):
Year of Manufacture:
Registration Mark (e.g G-AAAA):
Serial Number (if known):
 
Retractable Undercarriage?  YES NO
Piper Gear Pitot Fitted?  YES NO
Turbocharged?  YES NO
OAT Probe Details:  FITTED NOT FITTED
OAT Probe fitted to:  WINDSCREEN PORT SIDE STARBOARD SIDE
ADF Long Wire Aerial fitted?  YES NO
Hot Screen fitted?  YES NO


Aerials, Probes and Handles - Fitting Information
I have made all my measurements in:
from to Offset from to
from to Offset from to
from to Offset from to
from to Offset from to
from to Offset from to
from to Offset from to
from to Offset from to


Covers Required...
Quantity Type Cover Type & Colour
Quantity Type Cover Type & Colour
Quantity Type Cover Type & Colour
Quantity Type Cover Type & Colour
Quantity Type Cover Type & Colour
 
If you require a type of cover not listed above please provide details here:
 
Would you like the aircraft Registration on your Cover?  YES NO
Stencil Registration Letter:  25mm 50mm - £15.00
OR
Embroidered Letters:  50mm - £25.00.
Lettering as required:


Final Details...
Payment details will be required when we confirm your order. When we receive your order form we will calculate the cost of the items you have ordered and contact you via the method you have chosen above.
 
Prefered method of payment:  Credit Card Cheque Bank Transfer Other
If you selected 'Other', please detail:
 
Please add comments, additional information and further instructions here:-
 
I have read and agree to abide by Cambrai Covers Terms and Conditions (please check this box)