Chelton EFIS Systems for Experimental Aircraft Warranty Form

In an effort to serve the customers who have Chelton Flight Systems components, we would like to gather complete contact and aircraft information to set up your personal fires. This will be beneficial for any technical support required, warranty replacements, and future updates. This information will be kept confidential. Please provide the following basic information:

* = Required Field
Customer Information

*1. First Name:

*2. Last Name:

3. Address:

4. City:

5. State:

6. Zip Code:

7. Phone Number:

*8. Email:

Aircraft Information

9. Aircraft Make:

10. Aircraft Model:

11. Aircraft Serial Number:

12. Aircraft N#:

Equipment Information

*13. IDU Type: What's This?

*14. Software Revision:

*15. AHRS:

*16. GPS:

*17. ADC:

*18. Engine Concentrator or Engine Monitor:

*19. Date Equipment was Purchased

20. Are you Requesting a Software Update?	Yes No

21. Comments
Please type your comments here.