Online Pre-Arrangement Fuel Form

Instructions

- Submitting the Pre-Arrangement Fuel Form online is the preferred method of submitting this form.
- This form can be downloaded in PDF format/DOC format and can be emailed to Customer Support at Customer-Support@aircardsys.com.
- This form can be printed from PDF format/DOC format and can be faxed to Customer Support at +1-913-217-9358.
- For Assistance or if your fuel request date is within the next 48 hours, please call Customer Support at +1-866-308-3811.

Requestor Contact Information:

Customer Name
Customer E-mail
Customer Phone
Customer Fax

Fuel Supplier:

Merchant Name
Merchant City
Merchant Country
Location ICAO or IATA

Fuel Lift Information:

Cardholder Account Name
Card Number (Last 8 Digits)
Tail Number/Call Sign
Aircraft Type
Type of Fuel

Unit Name/DoDAAC
Estimated Gallon Amount
Date of Arrival (Airport Local Time)
Date of Departure (Airport Local Time)
Arriving From (ICAO or IATA)
Next Destination (ICAO or IATA)