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Hangar/T-Hangar Waiting List Application

2. Eloy Municipal Airport
   Attn: Harvey Krauss <br>595 N. C Street, Suite 104 <br>Eloy, AZ 85131 <br>520-466-9201 <br>520-466-3161 fax <br><a>hkrauss@eloyaz.gov

   Attn: Harvey Krauss
   595 N. C Street, Suite 104
   Eloy, AZ 85131
   520-466-9201
   520-466-3161 fax
   hkrauss@eloyaz.gov

4. <center>To be placed on the Hangar/T-Hangar waiting List at the Eloy Municipal Airport, please complete this form. <center>

   To be placed on the Hangar/T-Hangar waiting List at the Eloy Municipal Airport, please complete this form.

6. Date of Application
   Date of Application

8. First Name

9. Middle Name

10. Last Name

11. Suffix

13. Mailing Address:

15. City

16. State

17. Zip Code

19. Phone Number:

20. Cell Number:

22. Email Address:

24. Aircraft Type

25. Tail Number

27. Hangar size requested:

28. Tie Down:

30. Comments:

32. Digital Signature

    By clicking "I agree" you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
34. NOTE:
    <b>Please keep your contact information current; if we are unable to contact you, your name will be removed from the list.<b>

    Please keep your contact information current; if we are unable to contact you, your name will be removed from the list.

36. Please keep a copy for your records.

38. Signature of Airport Official
    -- Select One --Harvey KraussLorena LaSalde-RiosJillian M. Childress

39. Date
    Date

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit