Rental Dispatch Form-Palm Beach Flight Training
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1
2Rental Dispatch Form
Name _________________
Tail # ___________
Departure Date _________ Return Date _________
Route of Flight ___________________________________________________________________________
Max Takeoff Weight & C.G.
________/_______
Passenger weight:
______________
Current Takeoff Weight & C.G.
________/_______
______________
T.O. Distance & Rwy Length Leg 1
________/_______
______________
Ldg Distance & Rwy Length Leg 1
________/_______
X-W Component Leg 1: ______________
T.O. Distance & Rwy Length Leg 2
________/_______
Ldg Distance & Rwy Length Leg 2
________/_______
X-W Component Leg 2: ______________
Departure METAR Leg 1:
_____________________________________________________________
Arrival TAF Leg 1:
_____________________________________________________________
Departure/ Arrival TAF Leg 2:
_____________________________________________________________
Rental Terms:
There is a minimum rental charge per 24 hour period of 3 hours for C-172/Arrow and 2 hours for C-182/Archer. The
customer agrees to these minimums and authorizes Palm Beach Flight Training to charge the credit card on file for the
minimum or the actual Hobbs meter time, whichever is greater. The undersigned also acknowledges that if the aircraft is
abandoned away from KLNA, the renter will be charged pilot expenses plus aircraft flight time at dual rates to return the
aircraft to KLNA. Customer agrees to report any aircraft damage, accident or incident to the Palm Beach Flight Training
as soon as possible. Customer agrees to abide by all aircraft checkout limitations and procedures. Nights flights to, from,
or in the Bahamas, Florida Keys or over water are strictly prohibited. Customer agrees to abide by all Federal Aviation
Administration regulations and policies set forth in the Palm Beach Flight Training Rental Agreement. Acceptance of this
agreement does not constitute a waiver of additional liabilities contained in the Palm Beach Flight Training rental
agreement.
_________________________________
______
__________________________
_______
Customer Signature
Date
Instructor Signature
Date
_________________________________
_______
Credit Card Number
Expiration Date
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