Registration
CAN PARTICIPANT INFORMATION
CORPORATE NAME
PHONE
CORPORATE ADDRESS (Headquarters)
CHIEF EXECUTIVE OFFICER
NAME/TITLE
PHONE
CORPORATE CONTACT FOR PUBLIC RELATIONS CLEARANCE:
NAME/TITLE
PHONE
EMAIL ADDRESS
OUR COMPANY NAME MAY BE USED FOR PR:
NATURE OF CORPORATE BUSINESS
AVIATION DEPARTMENT
DIRECTOR OF CORPORATE AVIATION
NAME/TITLE
PHONE
E-MAIL
CONTACT FOR FLIGHT SCHEDULING
NAME/TITLE
PHONE
FAX
E-MAIL
ADDRESS
ALTERNATE SCHEDULER
PHONE
AUTHORIZATION
NAME
TITLE
SIGNATURE
The submitter represents and warrants that he or she has the authority to submit the agreement on behalf of the corporation.
DATE
AIRCRAFT INFORMATION
Plane 1:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
Plane 2:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
Plane 3:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
Plane 4:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
Plane 5:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
Plane 6:
Type & Seating Capacity
Tail #
Base Airport Name
Hangar Name
City
State
MOST FREQUENT DESTINATIONS
City & State 1
Identifier 1
City & State 2
Identifier 2
City & State 3
Identifier 3
City & State 4
Identifier 4
City & State 5
Identifier 5
City & State 6
Identifier 6
City & State 7
Identifier 7
City & State 8
Identifier 8
ROUTINE FLIGHTS/SHUTTLES
Please list and explain any routine flights (such as shuttles or daily/weekly/monthly routes)
WEEKLY COMMUNICATION
CAN communicates
EVERY WEEK
with your designated flight scheduler in order to obtain the the tentative trips for the next
TWO WEEKS
. Please check your preference:
We will fax schedule to CAN (914-328-3938)
CAN will call the corporation:
Thank you for participating in this humanitarian effort.