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Nebo Aviation Services, Punta Gorda, Fl -- APG Eastern Avionics International --- Nebo Aviation Services, Moscow, Russia


Credit Card Charge Authorization Form

Date: __________________ / _________________ / _________________

Company Name: ______________________________________________

Amount: $ ___________________________________________________

Credit Card Type: _____________________________________________

Account Number: _____________________________________________

Exp Date: ___________________________________________________

Three Digit CVV Number from the back of the card: ___________________

Cardholder Name: _____________________________________________

Authorized Signature: ___________________________________________

Cardholder Billing Address: ______________________________________

___________________________________________________________

City: _______________________________________________________

State: _______________ Zip Code: _______________________________


Please print out this page, complete the form, and FAX it to:
Carol Bova: FAX# 941-637-0388

This document is for a ONE TIME ONLY charge.
If you have any questions, please contact Carol Bova at (941) 637-8585.



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EASTERN AVIONICS INTERNATIONAL
AVIATION PARTNERS GROUP, INC.

SALES, ADMINISTRATION & EXECUTIVE OFFICES
28260 Air Park Rd., Charlotte County Airport (PGD)
Punta Gorda, Florida 33982 USA
Phone: (941) 637-8585 Fax: (941) 637-0388

TOLL FREE ORDER LINE 1-800-628-2667 or 1-800 NAV COMS

NEBO AVIATION SERVICES, LLC.
SERVICE, INSTALLATION, CERTIFICATION & ENGINEERING
8000 Skylane Way, Charlotte County Airport (PGD)
Punta Gorda, Florida 33982 USA
Phone: (941) 637-6530 Fax: (941) 637-0388

© 2008 Aviation Partners Group, Inc.
All Rights Reserved