Time Building with Helicopter Academy for $150/hour plus fuel!

 Your Flight Experience:

Total Hours - Robinson R-22 Helicopter: 

Total Hours - Robinson R-44 Helicopter: 

Total Hours - Others  Explain Below : 

Total Hours – You Wish to Buy From Us:

  How many hours are you funded for at $150 per hour.  Explain:

  What Helicopter Ratings do you currently have and what are you seeking?

 Your Personal Information:

First Name: 

Last Name: 

Cell Phone:

Ext:  

E-Mail Address: 

Date of Birth: 

Country off Birth: 

Weight in Lbs.:

Gender: 

Male Female

                        Can you legally work in the US?   Yes No

What training location would you like to attend?  Fort Lauderdale, FL Seattle, Washington Torrance, California Springfield, Missouri Lansing, Illinois Port Clinton, Ohio Hyannis, Massachusetts Newport, Rhode Island Linden, New Jersey Pensacola, Florida Panama City, Florida Merritt Island, Florida Miami, Florida Atlanta, Georgia Annapolis, MD Houston, TX Cleveland, OH Jacksonville, FL Ft. Myers, FL West Palm Beach, FL

 Your Mailing Address:

Address:

City: 

State: 

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Zip Code: 

Country: 

 Transfer Student Background Information:

Training School Name: 

School Location: 

Instructor's Name: 

Any Questions?

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