PIPER Control Wheel Order Form

FAA/PMA Supplement PQ2254NM

 

PIPER CONTROL WHEELS, pair, Std Black *                           $1645
Specify Shaft   3/4":  1 1/8":   Hub Color:      Black:     Tan:   
Options:    
          Push to talk switch    Quantity  $18.25 
          Dimmable Map Light, ea. $185
          Embroidered Piper Logo    (Pair) $70
          Electric Trim Switch Plate**   S-Tec Century Chelton None $385

*   Custom colors available- call Factory (408) 732-2027)  **  Does not Include trim switch.  Terms and Conditions

 

   Customer Information

 

Contact name:   

  Date:
Company Name:  
Address:  
   

City:  

State/Province:  

Postal/Zip Code:  

Country:  

Phone:  

Email:  

Phone/Cell:  

   

 

   Aircraft Data

 

Aircraft Model:  

Aircraft year:  

 

Registration #:  

 

  

 

   Payment

 

MasterCard:   Visa   American Express:     MasterCard 

Credit Card Number:  

 Exp date:  

  Security #:   

 

   Credit Card Billing Address       **If Same As Customer Info leave blank

 

Contact name:   

  Date:
Company Name:  
Address:  
   

City:  

State/Province:  

Postal/Zip Code:  

Country:  

Phone:  

Email:  

Phone/Cell:  

   

   Shipping

 

All shipments via UPS and shipping costs charged to Credit Card.

  Level of Service    Next Day:     Second Day:     Three day:     Ground:

 Shipping Address: 

 City:     
State/Province:    
 Country:   

If Applicable - Shipper #  Shipping Company:

Notes/Special Instructions:

Please send us an email with your thoughts, suggestions or improvements regarding this product.

info@avion.com

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