Piper Control Wheels Order Form

Aircraft Data

Aircraft Model:		Aircraft year:
Registration #:

Payment


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Credit Card #:	Exp date:	Security #:
All California residents 8.25%

Shipping

All shipments via UPS unless otherwise requested: All shipping costs charged to Credit Card.

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

Shipping Address:

City:

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If you would prefer to use your shipper number please add below.

Shipper Number: Shipping Company:

Notes/Special Instructions:

Please print a copy of this form prior to submitting for your records. Thank you for your order and your interest in our products and services.

*CESSNA GLARE SHIELD, 170, 172, 175, 180,182,185, 205, 206, 207. Includes all mounting hardware.**		$875

*CESSNA GLARE SHIELD, 210, T210 (1963-on), P210, 310, 320, 340, Includes all mounting hardware.**		$945

*CESSNA GLARE SHIELD, 336, 337, Includes all mounting hardware.**		$1200

*CESSNA GLARE SHIELD, 404, 411, 414, 421 Includes all mounting hardware.**		$1800

*PIPER GLARE SHIELD, Pa28-140,150,151,160,161,180,181, 235, 236, 200, Pa28R-180, 201, 201T, Pa28R-180, 201-RT, RT-201T. Includes all mounting hardware.**		$875

*PIPER GLARE SHIELD, Pa32-260, 300, Pa32RT-300, 300T, 301T Includes all mounting hardware.**		$975

*BEECHCRAFT GLARE SHIELD, 33, 35, 36 Includes all mounting hardware.**		$975

*BEECHCRAFT GLARE SHIELD, B55, B58 Baron Includes all mounting hardware.**		$1200
Options:
Floatplane Brace Cutout		$55
Independent pilot/Co-pilot lighting		$232
Additional Cooling Vent		$325
Alternate independent emergency power		$65
*Custom Vinyl colors available- call Factory (408) 732-2027) Terms and Conditions