Fuel Purchase Form

Fuel Purchase Form
VH-aircraft rego*
Name of base providing the fuel
Mobile Tanker Rego
Location of Mobile Tanker
Pilot Name
Pilot Mobile Number
Please enter a valid phone number.Format: 0000 000 000.
Pilot Company Name
Email address for invoice
example@example.com
Fuel Type
Amount of fuel taken (ltrs)
Acknowledgement

I confirm the fuel provided will be used for commercial or business purposes only . I acknowledge I am solely responsible for all fuel testing; and will comply with all laws relating to the storage, transport and use of fuel. I/ my Company are solely responsible for any fuel spills, the clean up of the affected area and any legal reporting requirements relating to a spill, incident or accident.
I acknowledge the above and confirm that I have tested the fuel in accordance with my company's policy
Should be Empty:

Acknowledgement