Name of Attendee/s:

Name of Company or FBO:

FBO Location:

  No lodging needed

  I will be staying at the host hotel

Arrival Date:

Departure Date:

Are you required to have Part 139 Fire Training?

Please feel free to make any fly-in arrangements with the host FBO.

There is no charge for the seminar content, and breakfast and lunch will be provided. The attendees are responsible for travel, lodging, and their evening meal. Avfuel Room Block has been reserved at a rate of $139 per night + applicable taxes for overnight attendees.

By signing below I understand that even though there is no charge for attending the seminar, if I cancel, the FBO or company I represent may be subject to a $139 cancellation fee.

Signed:

Printed:

Contact number:

E-mail address for confirmation:

You will receive confirmation from Avfuel soon after you send in your information. If you do not receive confirmation, please Contact Avfuel's Quality Assurance Department at 1-800-521-4106