0
%
L
o
a
d
i
n
g
.
.
.
Skip to content
Home
About us
Services
Close Services
Open Services
Charter
Ground Handling
Permits
Humanitarian
Fuel
News
More
Close More
Open More
Navigation Fee
Government
book an appointment
New client registration
Home
New client registration
New client registration
Company information
Legal Name of Purchaser:
Trading Name DBA
Phone number
Fax
Email
Website
Registered Office Address
Country
State
City
Zip Code
Nature of operations
Airline
Charter
Private
Maritime
Land Fuel
Other
Applicant is a:
Corporation
Partnership
LLC
Other
FEIN #:
Co. Established Year
Inc. in State/Country
VAT #
DUNS #
Parent Company Name
Federal tax exempt
Yes
No
VAT Exempt
Yes
No
**Please provide copies of all licenses, AOCs and Certificates to benefit fully fron any tax exemption eligibility**
Owner/Officer
Title
Physical Address
Physical Address Country
Physical Address State
Physical Address City
Zip Code
Email:
Operations Contact
Physical Address Phone number
Email
Email Address(es) for Fuel Authorizations
Pricing Contacts and Formats
Phone number(es) for Fuel Authorizations
Pricing Contacts and Formats Email
Email Address(es) for Price Notices
Please select format(s) you would like to receive your pricenotices in
pdf
xlsx
csv
Accounts Payable Contact
Accounts Payable Contact Phone number
Accounts Payable Contact Email
Email Address(es) for Invoice Delivery
Financial information
Bank Name
Bank Address
Financial information Country
Financial information State
Financial information City
Financial information Zip Code
Account No.
P.O.Box
SWIFT
IBAN
Phone number
Email
Requested credit terms
Requested Payment Terms (days)
Requested Credit Amount USD
Trade referents
1. Company Name
Company Phone number
Company Fax
Company Contact Name
Company Email
Company Address
Company Country
Company State
Company City
Company Zip Code
2. Company Name
2. Company Phone number
2. Company Fax
2. Company Contact Name
2. Company Email
2. Company Company Address
2. Company Country
2. Company State
2. Company City
2. Company Zip Code
Fleet information
Please provide aircraft tail number(s) and type:
Tail #
Type
Tail #
Type
Tail #
Type
Referral
Referral Company Name
Representative Name
Customer acknowledges that AEG fully complies with the laws and regulations enforced by the U.S. Treasury Department’s Office of Foreign Assets Control (OFAC).
Customer acknowledges that neither Customer nor any aircraft it operates is owned in whole or part by a Specially Designated National (SDN).
Customer agrees that it will not allow any SDNs to travel as passengers on Customer’s aircraft.
Customer agrees that it will not order fuel for any flight with a destination of Iran, North Korea, Syria or Crimea.
Terms of credit
AEG Fuels Sales Executive Contact
Date
Signature
I have read and accept AEG’s General
Terms and Conditions.
Submit Request
New client registration
Home
About Us
Services
Charter
Ground Handling
Permits
Humanitarian
Fuel
News
More
Navigation Fee
Government
Hamburger Toggle Menu
mediterrenean
Wherever you fly, we’ll be there!
