Customer Service Agreement ( CSA )

Satcom Direct Customer Service Agreement (“CSA”) V2015.29.01 ACCOUNT PROFILE

COMPANY INFORMATION

Customer Name:

Mailing Address:

State:

Country:

Telephone Number:

Fax Number:

CONTACT INFORMATION

Aviation Manager:

Email Address:

Chief Pilot:

Email Address:

Director of Maintenance:

Email Address:

Aircraft Technical Contact:

Email Address:

BILLING INFORMATION

Same as above Use the same billing contact information as tail number (Existing customers):

Company Name:

Contact Name:

Address, City, State, ZIP: Country:

Billing Telephone Number:

Billing Fax Number:

Provide an email address for electronic delivery of monthly invoices (REQUIRED):

PAYMENT METHOD (Check one) *You will be contacted by Satcom Direct’s Finance Department to collect your credit card details.

Wire Payment

Credit Card*

PO (DUNS Required) DUNS #:

AIRCRAFT PROFILE

Aircraft Type:

Aircraft S/N:

Tail Number:

ICAO Home Airport Code:

Country of Registration:

EXISTING PROVIDERS

Have cabin services been provided by another service provider? Yes No If yes, please list provider

*Please select cockpit datalink provider: Satcom Direct Honeywell GDC Universal Weather ARINC Direct None