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To: Hawaii Flight Academy

*Name:
Company :
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Address 2:
*City:		*State:	*ZIP:
Telephone:	Country:
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I am interested in the following:

21 Day Private Pilot Course
14 Day Instrument Rating Course
College Degree Program

I Currently Have the Following Certificates:

Private Pilot Certificate
Commercial Certificate
ATP Certificate
Instrument Rating
Multiengine Rating
Flight Instructor
TOTAL FLIGHT TIME

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My current need is:	Flight Training Information Aircraft Rental Information None Other (use comments)
Anticipated training period:	Immediately 30 Days 60 Days 90 Days 6 Months 6 Months Plus No Definite Plans
Please contact me by:	E-mail Fax Telephone Snail Mail Don't contact me

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