Name: Alliance Aviation
Telephone: (786) 598-7978

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Name*
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Airline, Agent or official Partner Representative
If you are part of an Airline or have use one of our exclusive partners or agents to enroll, please provide the name.
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Mobile Phone*
Email*
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Program Atending*
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Date of Birth
Date Format: MM slash DD slash YYYY
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Passport Upload*
Only For Pilots Training in the US, Do you have a valid US visa?
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Only For Pilots Training in the US If yes, please specify type of Visa
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Pilot License Held*
Front License Upload*
Back License Upload*
Last 3 Pages of Log Book*
Medical Upload
Medical Class/EXPIRATION DATE
3. Flight Hours Multi- Engine Turbo Jet Time (SIC, PIC):
Verification Letter from FAA Upload
***If you have a Foreign License and you are taking an Initial/ Type Rating or any course approved by FAA that requires a verification Letter, please provide this document.
Cancelation
Notice of cancellation, must be received in writing at our office 45 days prior to class start date. Immediately, upon REFUND POLICY notification of cancellation Alliance Aviation will refund deposit. An amount of $200.00 will be used to cover administrative fees. Failure to cancel prior to 45 days from the start date will result in forfeit of entire deposit.
WIRE INSTRUCTIONS Chase Bank Account: Alliance Aviation, Inc. ABA routing: 267084131 Account number: 529718980 Swift: CHASUS33 Bank Address: 320 Crandon Blvd, Key Biscayne, FL 33149 Physical Address: 5600 NW 36 St. #615 Miami, FL 33116 ***Please reference customer name and/or payment information***
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