Purchasing Options - Selling Your Simulator

Please Complete the Following Form to Obtain More Information

First Name:
Required field.
Last Name:
Required field.
Company Name:
Title:
Address1:
Required field.
Address2:
City:

Required field.
State:

Required field.
Zip:

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Phone/Ext:

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Email:
Required field.Invalid email format.
Simulator type:
Serial Number:
Purchased Date:
Under Warranty?
Yes
No
Warranty Expiration:
How many hours of operation has the simulator had?:
Is the simulator currently being used for training?:
Yes
No
Is the simulator currently operational?:
Yes
No
How have you used the simulator in the past? (for what type of training):
What benefits have you received from using the simulator (i.e. Reduced maintenance costs)?
Have you had any problems with the simulator? If so, what?
Yes
No
Do you have an OpCon?
Yes No
Software Version:
How soon do you want to sell?
Do you have a minimum price you must receive?
Yes No
$
How would you like to be paid?
Would you commit to a 90 day exclusive sales contract with AST?
Yes No