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BUSINESS ADDRESS (Required) First Name Last Name Title Company Street Address Department/Mail Stop City State/Province Select State/Province        Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ---------------------------------------- U.S. Military - America (AA) U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP) ---------------------------------------- ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NORTHWEST TERRITORIES NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY ---------------------------------------- I am not in the U.S. or Canada Country  Fill in this field only if you are not in the U.S. or Canada Zip/Postal Code USA/U.S. Military: Enter Zip +4 code without the hyphen (e.g. 123456789) CANADA: Enter postal code per usual (e.g. A1B 2C3) OTHER: Enter postal code per usual, if applicable  E-mail Address  Occasionally, Aviation Maintenance makes its lists available from qualified, relevant businesses and organizations. If you would not like to receive this information via email, please check this box.  May Aviation Maintenance contact you via fax regarding magazine subscription renewals?  Yes  No Business Phone Business Fax  International Subscribers: Enter Phone and Fax number without the hyphen or brackets (e.g. 123456789) A. What is your primary business? (check only ONE) Aftermarket/MRO 16. MRO 05. Repair Station 06. Fixed Base Operation 07. Distributor/Dealer 08. Government Maintenance Facility 18. I.A. Firm 15. Other OEM/MRO 01. Airframe Manufacturer 17. Avionics Systems Integrator 02. Engine Supplier 04. Manufacturer/Service Provider Operator/MRO 09. Commercial Airline 10. Business Aviation 11. Charter/Air Taxi 12. Cargo/Air Freight Related Businesses 13. Federal Regulatory Agency 14. Training School/Educational Facility 98. Others Allied to the Industry (please specify) B. What is your job title? (check only ONE) 01. Owner/Partner/VP/Purchasing Agents Supervisors/Director/Managers of: 02. Maintenance 03. Avionics 04. Engineering 05. Corporate Flight Dept. 06. Service 07. Training 15. Parts Department 08. IA or Inspector 09. A&P Mechanic 11. Engineer 12. Chief Pilot/Pilot 13. Sales/Marketing Director/Manager/Supervisor 14. Instructor 98. Others Allied to the Industry (please specify) C. Does this business provide MRO services? 01. Yes 02. No D.  From the list of airframe manufacturers below, please indicate all of the airframes for which this business is approved to provide maintenance services: (check ALL that apply). 01. Airbus 02. BAC 03. Beech/Raytheon 04. Boeing 05. Bombardier 06. Cessna 07. Dassault Falcon 08. Embraer 09. Fairchild 10. Galaxy 11. Gulfstream 12. Hawker 13. IAI 14. Jetstream 15. Learjet 16. Lockheed 17. Mitsubishi 18. Piaggio 19. Pilatus 20. Piper 21. Rockwell 22. Saberliner 23. Socata 24. Swearingen 25. Cirrus 26. Eclipse 27. Fokker 28. Saab 29. McDonald Douglas 98. Other (please specify) E. What types of aircraft are supported by this business? (check ALL that apply) 01. Piston 02. Light Turboprop 03. Heavy Turboprop 04. Business Jets 05. Commercial Jets 06. Helicopters 99. None of the above F. Which of the following services does this business offer? (check ALL that apply) General Services 01. Airframe 02. Avionics 03. Engines/Piston 04. Engines/Turbine 05. Interior Completion/Refurb 06. Painting 07. Technical Training Specialty Services 08. Wheels and Brakes 09. Window Repair 11. Corrosion Treatment 12. De-Icing 13. Instrument Repair 14. Non-Destructive Testing 15. Computer Maintenance Tracking/e-logbooks 22. Composite Repair Inspection Services 17. Annual Inspections 18. Hot Section Inspections 19. Phase Inspections 20. Letter Checks (A, B, C, D) 21. Remote visual Inspections 99. None of the Above G.  Which of the following products/services/equipment does your company plan to buy in the next 18 months? (check ALL that apply). 01. Aircraft Paint 02. Batteries/Battery Charges 05. Communication Equipment 06. Composite Materials 07. Connectors/Circuit Breakers/Relays 08. Corrosion Inhibitors 09. De-Ice/Anti-Ice Fluids 10. Fasteners/Hardware 11. Filters 12. Ignition Systems/Spark Plugs 13. NDT Supplies 14. Oils/Lubricants/Oil Filters 15. Paint/Coatings 18. Avionics Test Equipment & Supplies 19. Airframe Test Equipment & Supplies 20. Engine Test Equipment & Supplies 21. Testing/Inspection Equipment & Supplies 22. Tires/brakes 23. Tools 24. Avionics 25. RFID 26. Software/Maintenance 27. Software/Enterprise 28. Software/Other 29. Ground Support Equipment 99. None of the Above H.  Which of the following magazines do you receive personally addressed to you? (check ALL that apply). 01. Aircraft Maintenance Technology 02. Aircraft Technology Engineering & Maintenance 04. Avionics News 05. Overhaul & Maintenance 06. MRO Management 07. Ground Support World 99. None of the above I.  Aviation Maintenance magazine uses your information for a searchable industry database. If you do not want to be included in this database, check off here.  Personal Identifier Audit Verification (Required) In lieu of a signature, we require a personal identifier. To verify that you submitted this application please enter below in what city were you born. In what city were you born: