aeroGEM Aviation | fuel form

AEROGEM AVIATION - FUEL DEPARTMENT
WORLDWIDE FUEL REQUEST
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1. AIRPORT WHERE FUEL IS REQUIRED

ICAO AIRPORT CODE

COUNTRY

AIRPORT ID

2. COMPANY INFORMATION

NAME OF OPERATOR

CAPTAIN/FM'S NAME

AIRCRAFT TAIL NO

FLIGHT NUMBER

AIRCRAFT TYPE

CARNET CARD TYPE

CARNET CARD NO

CARNET CARD HOLDER

IF OPEN ACCOUNT, CUST #

3. GENERAL INFORMATION

ESTIMATED FUEL UPLIFT (LTRS)

/(USG)

FUEL TYPE

DATE OF ARRIVAL		ETA(Z)
DATE OF DEPARTURE		ETD(Z)

4. CONFIRMATION INFORMATION (WHERE CUSTOMER WANTS CONFIRMATION TO BE SENT TO)

NAME

ADDRESS

PHONE

FAX

SITA

AFTN

Aerogem Aviation has a strict privacy policy and the details supplied here will only be used by Aerogem Aviation and not supplied to any third parties.