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Payment Request Form
Customer
Email
Current Flight Hour Balance
Current Instructor Hour Balance
Please enter a number from
-50
to
100
.
Payment Type Request
Flight Hour Balance
Instructor Hour Balance
Both Flight and Instructor
Next Phase Payment
Next 2 Phase Payments
Flight Hour Amount Owed
Instructor Hour Balance
Hidden
Balance Due
Program Student is Enrolled in
PPL
Sport
Other
PPL Phase Payment Due
2 PPL Phase Payments Due
Sport Phase Payment Due
Other Amount Requested
Description of Other Amount Requested