EFTA02676132.pdf

Aircraft .1. WORK AUTHORIZATION Registration: BANYAN Type Aircraft: Aircraft Serial Number: A/C T T. Landings: Date: BILLING INFORMATION: CUSTOMER REPRESENTATIVE: Aircraft Owner/Charge To: Contact Name: Address: E-mail Address: City: Local/Cellular Phone: State: Zip: Alternate Phone: Log Books Located At: Aircraft Key Located At: Requested Departure Date/Time: Service Requested:' O Maintenance O Avionics O Part 135 Operator O Part 91 Operator *All Charges are COD. Customer Number: Work Order: The pricing of parts. labor. supplies, components. materials, appliances, repairs and fuel is, in part, determined by the payment method identified. Any change to the method of payment may result in additional charges or fees. (Initials) PAYMENT METHOD: O CASH O CASHIER'S CHECK O CHECK O WIRE TRANSFER O CREDIT CARD PLEASE NOTE: I. as owner and/or authorized representative/agent of the owner of the said aircraft, hereby authorize Banyan Air Services. Inc. (-Banyan"). its agents and employees, to undertake and perform all services requested herein, or which are determined to be necessary or required to/for the Aircraft described above, and to furnish all parts, labor. materials. components, appliances, fuel and supplies required or necessary in order to accomplish or effectuate same. Banyan. Its representatives, agents and employees are authorized to operate, test and fly the aircraft and its parts, systems. components and appliances, for the purpose of diagnosis, testing and inspection. I understand and agree that all labor, parts. materials, supplies. components, appliances. fuel and work are furnished on a COD basis unless other prior arrangements have been made, in writing. If all or any part of payment for the labor, parts. materials, supplies, components. appliances, fuel and work is to be made by credit card. Banyan is hereby granted limited power of attorney, and is hereby expressly authorized. to charge the credit cards(syaccount(s) Identified above, or otherwise provided, in such amounts, and at such times. as may be necessary to ensure prompt and complete payment in full for all labor, parts, materials, supplies. components. appliances. fuel and work. In the event that payment is not made when billed. Banyan may cease or suspend repairs/services and shall not thereby be liable for any delay in return of the aircraft to service. nor be liable for any other damages for loss of use of the aircraft or other/me to the owner thereof or any person. firm or entity claiming by, through or under owner. The outstanding balance due shall be subject to a finance charge of 1'4% per month, together with a parking/storage charge at the then prevailing rates in effect for the type of aircraft until payment in full has been received. In order to secure payment for all labor, parts, materials, suppfies, components. appliances, fuel and work. in addition to the foregoing. Banyan Air Services. Inc. is hereby granted an express mechanics lien on the said aircraft in accordance with the provisions of §§329.41, 329.51 and Ch. 713, Part II, Fla. Stets. Banyan is hereby granted the continuo°, irrevocable and consensual right to record and foreclose a lien against the said aircraft in the event any biN for maintenance. repairs, labor, pads, materials, supplies, fuel, lubricants ancUor other services is unpaid and any requirement that Banyan possess the aircraft is expressly and irrevocably waived and renounced. Banyan is expressly authorized to record and foreclose any such hen. and Banyan is not required to possess the aircraft at the time of filinglrecording of any such lien. Lack of possession of the aircraft shall not be a defense to the enforcement of any such lien, which shall be deemed to be a valid and incontestable lien against the said aircraft (notwithstanding any provision of law to the contrary). In the event that it becomes necessary for Banyan to employ the services of an attorney to enforce its rights hereunder or to collect any balance due. the owner of the said aircraft shall pay all court costs and attorney fees incurred by Banyan in addition to any principal and interest adjudged to be due Banyan. IN CONSIDERATION OF OUR SERVICES AT THE STATED RATES AND TERMS, IT IS EXPRESSLY AGREED AND UNDERSTOOD THAT UNDER NO CIRCUMSTANCES SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR INDIRECT. INCIDENTAL. CONSEQUENTIAL. SPECIAL OR EXEMPLARY DAMAGES, WHETHER IN CONTRACT OR TORT (INCLUDING STRICT LIABILITY AND NEGLIGENCE) SUCH AS. BUT NOT LIMITED TO, LOSS OF USE OR DIMINUTION OF VALUE. WORK AUTHORIZED BY OWNER AND/OR OWNER'S AUTHORIZED AGENT X Signature Request Taken By 5360 NW 20Th Terrace • Fort Lauderdale. FL 33309 • 954.491.3170 • Maintenance Fax: 954. 491.1612. Avionics. Fax: 954.491.6958 www.banyanair.com • info@banyanait corn Rev. 10/14 EFTA_R1_01967031 EFTA02676132