First Name: Last Name: Company:
From:
To:
Departure City:
Destination City:
Email Address:
Type of Plane: Turbo Prop Light Jet Midsize Jet Supermid Jet Hold Control key to select multiple
# of Passengers:
Pickup Time: Phone: () - Special Instructions:: SUBMIT
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1) For what purpose would you utilize business jet travel?
All business related travel
Primarily business travel some personal
Mixture of business and personal travel
Primarily personal travel some business
All personal travel
2) How many flights a year will you be taking?
Under 5
5-10
10-15
15-20
Over 20
3) Which areas will you be traveling and how frequently?
Number of Trips
Southeastern states (FL, SC, GA, AL, and MS)
Midwest and Northeastern states (AR, CT, DC, DE, IA, IL, IN, KS, KY, PA, RI, SD, TN, TX, VA, VT, WI, and WV)
Alaska and Hawaii
Canada, Mexico, and Caribbean Islands
Europe
Asia
4) How many other individuals will be traveling with you?
Minimum:
Maximum:
5) How long will you be staying at each destination?
Less than 12 hours
12-24 hours
24-48 hours
2-3 days
3-5 days
Longer than 5 days
6) On shorter trips (48 hours or less) would you prefer the aircraft and crew remain with you or repositioned for other flights?
Aircraft and crew remain at destination, on-call for departure (overnight charges for crew incurred)
Aircraft and crew are repositioned for other flights. They will return to destination for pickup based on specified time (responding charges based on flight time incurred)
7) Who would you prefer retain Operation Control on your flights?
The customer retains operational control. - The customer is responsible for compliance with all applicable regulations. - The customer may be exposed to enforcement actions for any noncompliance, resulting in significant civil penalties. - The customer may be exposed to significant liability risk in the event of a flight-related occurrence that causes personal injury or property damage.
ExecuJet retains operational control.
8) Are you willing to assume the additional risk of liability for flight related occurrences causing personal injury or property damage for flights where you are not utilizing the aircraft?
Yes, I will assume the risk of liability for incidents occurring on flights where I am not using the aircraft.
No, I DO NOT wish to assume the risk of liability for incidents occurring on flights where I am not using the aircraft.
9 ) If a large capital investment is made to acquire an aircraft or aircraft interest do you expect to recoup this investment, with possible appreciation, upon the sale of the aircraft or aircraft interest?
Yes
No
10 ) Would you rather have a defined cost for your business jet travel or are you willing to accept fluctuating costs on a month-to-month basis?
Defined Cost: A block rate for a certain number of hours or a set rate on a per hour basis.
Fluctuating Costs: A monthly rate that may vary based on cost of fuel, hangar rental and other operational costs. This may include cost for unexpected and/or increased maintenance or refurbishment.
tel 888.635.9538 or 813.490.0208 fax 813.490.0213 email
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