Carolina South Aeronautical Registration Form Please return this Registration Form with your required personal information and remittance, (money order, check, or credit card), payable to Oasis Aeronautical LLC. Please note, personal checks must be received a minimum of three weeks prior to attending Carolina South Aeronautical for bank clearance. Please note, we are accepting only Visa and Master cards at the present. MAIL or FAX To: Carolina South Aeronautical 2740 Madison Highway Valdosta, GA. 31601 FAX 229-245-0042 Toll Free Voice 1-866-369-8068 FAA COMPUTERIZED EXAMS PRICES _____________________________ _________________ A & P ( General – Airframe & Powerplant – 3 each ) $ 300.00 A or P ( General – Airframe or Powerplant – 2 each ) $ 200.00 Individual FAA Exam 1 each $ 100.00 FAA Practice Exams 1 each $ 20.00 A & P Oral & Practical Exams 1 each $ 250.00 NAME OF TRAINING FACILITY – Carolina South Aeronautical LOCATION OF FACILITY – Valdosta, Georgia SENIOR INSTRUCTOR/EXAMINER - Reatha M. Pavey NAME (first)__________________________ MID.- _______________________ LAST__________________________________ Social Security # ____________ - ______________ - _________________ (Optional) Drivers License # ________________________________________ State ______ Address _______________________________________________________ City _______________________ State _______________ Zip __________ Home Ph # ____________ - ___________ - _________________ Cell # ___________ - ___________ - ________________ Wk Ph# ___________ - _________ - ________________ D.O.B. _____ - _______ - _________ Place of Birth _______________, _________ (MM) (DD) (YYYY) Citizen of _______________________ Male _________ or Female __________ _________ Initial Exam or ____________ Re-test ------------------------------------------------------------------------------------------------------------ Requested Training Date: Month __________ Date _______ Year ___________ (MM) (DD) (YYYY) Note* A & P certification process = approx. 10 to 14 days A or P certification process = approx. 7 to 10 days (Some finish faster, some take a little bit longer) The Corporate/U.S. Veterans Administration approved 100 Hour – F.A.A. Airframes and Powerplants Certification course and licensing programs. PRICE LIST BREAKDOWN: (TOTAL COST - $1,465.00) (A) All books and manuals, audio/video cassettes and computer software, (includes AC 43.13 and F.A.R. manuals)………….. $ 320.00 (B) Practice and real written Computer Exams………………..…..$ 320.00 (C) All classroom/lab training and prep courses……………………..…Free (D) Oral and Practical Exams ($250.00 each)..……....$ 250.00 to $ 750.00 (E) Course Registration Fees …………………………………………….$10.00 (F) Continental U.S. shipping and handling……………………………$ 20.00 (overseas S&H cost is based on destination) (G) 7 % sales tax (on A & B only) ……...……………………………….. $45.00 The Corporate/U.S. Veterans Administration approved 72 Hour – F.A.A. General plus Airframes or Powerplants Certification course and licensing programs. PRICE LIST BREAKDOWN: (TOTAL COST - $1,200.00) (A) All books and manuals, audio/video cassettes and computer software. (includes AC 43.13 and F.A.R. manuals)… ……... $ 320.00 (B) Practice and real written Computer Exams……………….…..$ 306.00 (C) All classroom/lab training and prep courses……………………… Free (D) Oral and Practical Exams ($250.00 each)..……………….….. $ 500.00 (E) Course Registration Fees ……………………………………..…….$10.00 (F) Continental U.S. shipping and handling……………………..……$ 20.00 (overseas S&H cost is based on destination) (G) 7 % sales tax (on A & B only) ………………….…………….…..... $ 44.00 Note* G.I. Bill reimbursement covers Approx $ 1050.00 for the A&P and $ 700.00 for the Airframes or Powerplants.