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)

General Services Requested

Special Instructions: