Please enable JavaScript in your browser to complete this form. - Step 1 of 2Aircraft Tail # *Company Name *Type “na” if Not ApplicableFirst Name *Last Name *Billing Address - Street *Billing Address - Street2Billing Address - City *Billing Address - State *Billing Address - Zip *Home PhoneWork PhoneMobile Phone *Point-Of-Contact: First Name *Type “na” if same as abovePoint-Of-Contact: Last Name *Type “na” if same as abovePoint-Of-Contact: Title *OwnerPilotManagerMechanicInstructorPoint-Of-Contact: Phone Number *Type “na” if same as abovePoint-Of-Contact: Email Address *EmailConfirm EmailIssue (Squawk): Was another Work Order opened previously for similar issue (squawk)? *Issue (Squawk): WHAT is the detailed complaint? *Issue (Squawk): WHEN did the problem start? *Issue (Squawk): WHERE did the problem occur? Air or Ground? *Issue (Squawk): WHO experienced the issue? *PilotCo-PilotPassengerIssue (Squawk): Intermittent/INOP/Consistent? *IntermittentINOPConsistentEquipment/Part: Model of unit(s) **FYI: Garmin GNS 430/530 - WAAS or Non-WAAS? (The WAAS Upgrade option is no longer available. Flat rate repairs are available for a short time longer.)Equipment/Part: COM/NAV? - #1 or #2? *Type “na” if Not ApplicableEquipment/Part: **G1000** - Do you have the aircraft software SD card? *Type “na” if Not ApplicableEquipment/Part: Autopilot? *Type “na” if Not Applicable *OFFICE: Send and confirm Autopilot Agreement received, prior to scheduling and attach to customer profileWas the aircraft recently in maintenance? *Please answer “Yes” or “No” and WHERE (if applicable) Picture(s) of error message (if applicable), please send to Info@braggavionics.com *Emailed to info@braggavionics.comN/AEquipment/Part(s) dropped off: PN(s) & SN(s) *Type “na” if Not ApplicableHow will you be paying for this job? *Credit/Debit CardPaper CheckACHWireRE **OFFICE use onlyScheduling & Availability: How many days is the Aircraft available? *Enter the number of days and/or date(s) - Provide details of flight schedule if necessary Scheduling & Availability: How long is Aircraft scheduled for? **OFFICE use onlyScheduling & Availability: Expedite? *ASAP1 day2 days*OFFICE: Advise customer of our current Expedite Labor RateWork Location: *Bragg Avionics, Inc.KSGJ (Saint Augustine)KJAX (Jax International)*OFFICE: If KSGJ or KJAX, advise customer of our current Travel Cost Labor Rate — Enter location below if different from options aboveWork Location: Customer Hangar or other airport **OFFICE: Enter location of work to be performed (including customer hangar #) and advise customer of our current Travel Cost Labor RateScheduling & Availability: How will the Aircraft get to Bragg? *Waiting - Customer to drop off Aircraft *Additional Information below*Need Bragg Courtesy Car - Customer to drop off Aircraft *Additional Information below*Call Sky HarborCall Jax Executive Jet Center N/ASelect “N/A” if Not Applicable & OFFICE: Check schedule for Courtesy Car availabilityScheduling & Availability: Customer Drop-off Date & Time **OFFICE: Add customer drop-off to calendar. Type “na” if Not ApplicableFollow Up/Arrival: Aircraft keys left with front office? *YesNo, not needed*OFFICE use onlyFollow Up/Arrival: Time of arrival on scheduled day *Equipment/Part(s) dropped off? *YesNo*OFFICE: Please notate on Work Order the location of Equipment/PartsNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
