EFTA00301221.pdf

HELIFLITE - Time Flies. 5 Brewster Rd. Newark. NJ 07114 Phone: Fax: Email: www.helitlite.com QUOTE FOR AIRCRAFT SERVICES Quoted For: Larry Visoski Quote Number: 4521 Contact: Larry Visoski Date Quoted: 03 Sep 2013 Address: Phone: Aircraft: BHT- 430 Fax: Tail #: TRIP REQ Email: Date of trip: 07 Sep 2013 to 07 Sep 2013 LEG DATE ETD DEPARTURE CITY ARRIVAL CITY ETA PAX STAT MILES ETE TZC I 07 Sep 2013 8:30am NEW YORK. NY (JRA) BETHLEHEM. CT (CT01) 9:06am 78 00:36 2 07 Sep 2013 6:00pm BETHLEHEM. CT (CT01) NEW YORK. NY (JRA) 6:36pm 78 00:36 156 01:12 QUANTITY RATE AMOUNT Aircraft Charter /Est. Block Time 01:12 4,650.00 /hr 5,580.00 Aircraft Positioning lEst. Block Time 00:36 4,650.00 /hr 2,790.00 SUBTOTAL 8,370.00 Discount = -20.0% -1,674.00 SUBTOTAL 6,696.00 OPS FEE 1 1,685.00 Segment Tax 8 31.20 SUBTOTAL 8,412.20 F.E.T. 628.58 GRAND TOTAL $9,040.78 COMMENTS: HeliFlite Shares. LLC (HELIFLITEOUOTE - Rev. 7,252013) PRINTED: 03 Sep 201313:17 EFTA00301221  HELIFLITE - Time Flies. 15 Brewster Rd. Newark, NJ 07114 Phone: Fax: Email: www. e I I e.com QUOTE FOR AIRCRAFT SERVICES Quoted For: Larry Visoski Quote Number: 4521 Contact: Larry Visoski Date Quoted: 03 Sep 2013 CANCELLATION: A cancellation fee will be charged if the charter is cancelled with less than 24 hours notice of scheduled departure. plus any costs incurred. NOTE: Costs Incurred may include crew expenses and other costs incurred or not cancellable. HAZMAT: Transport of hazardous material is prohibited. PAYMENT: HeliFlite reserves the right to require prepayment of the entire quoted itinerary. Unless otherwise specified. all invoices are due upon receipt. HeliFlite a may extend credit to customers on a case by case basis. All invoices are subject to a 5% late fee effective 10 days after the date of invoice at which time the credit card on file will be charged along with a 3.5% administration fee. The client may opt for one of two available payment options: TAX: When taxes are not quoted, tax collection and appropriate tax payments are the responsibility of the client. Please check one of the options below upon confirmation of booking: Wire Transfer prior to trip departure to: HeliFlite Shares. LLC. 15 Brewster Road North. Newark NJ 07114 ABA Routing Number: Account Number: Swift Code: Credit Card (American Express. Visa. MasterCard): CARD TYPE CARD NUMBER EXPIRATION DATE CVC NAME AS IT APPEARS ON CARD BILLING ADDRESS CITY STATE ZIP CODE Although pre-payment may be necessary. credit card information is required as a guarantee for possible additional charges such as but not limited to catering, ground transportation and other operational fees until invoice is paid. Heliport parking charges will apply if client is late. Wait timecharges will also be billed at $400.00 per hour. If payment for additional charges is not received within 10 days of invoice date, the credit card will be charged plus a 3.5% processing fee. By signing below. I authorize HeliFlite Shares. LLC to charge my credit card and accept the above itinerary with the terms and conditions stated to reserve the aircraft. SIGNATURE: Date Title HeliFlite Shares. LLC (HELIFLITEOUOTE - Rev. 7t25,2013) PRINTED: 03 Sep 2013 13:17 EFTA00301222