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Aircraft Appraisal Request Form

First Name:
Last Name:
Street Address:
 
City:
State:
Country:
Zip Code:
Email:
Telephone Number:
Fax Number:

Aircraft Specification
Aircraft make:
Model:
N#:
Serial #
Aircraft Location City:
State:
Name of Airport:

Additional Comments or Special Instructions
   

You print the form and fax/mail to:

Polk Associates, LLC
802 El Toro Rd
Ojai, CA 93023
e: japolk@jps.net
ph: 805.646.7293
f: 805.669.3266