Aerotas MapPing System Client Information

Please complete the below information for the primary company contact, as well as for each of the two UAV pilots that will complete the UAV training. Contact Aerotas with any questions: support@aerotas.com or (949) 335-4323.

Primary Company Contact information

Contact - First Name

Contact - Middle Name

Contact - Last Name

Contact - Suffix

Contact - Title

Contact - Phone

(###)

###

####

Company Name

Contact - Email Address

Company Shipping Address

Note: the Shipping Address cannot be a P.O. Box. If this address differs from the company's standard mailing address, please contact us. Additionally, if the company physical address is different from the Shipping Address, please contact us.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

UAV Pilot #1 FAA registration information

Pilot 1 - Type of goverment-issued identification

All below name and address information must exactly match the ID used

Pilot 1 - First Name

Pilot 1 - Middle Name

Pilot 1 - Last Name

Pilot 1 - Suffix

Pilot 1 - Address on ID

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pilot 1 - Birthdate

YYYY

[N/A - leave this field blank]

Pilot 1 - Email Address

UAV Pilot #2 FAA registration information

Type of goverment-issued identification

All below name and address information must exactly match the ID used

Pilot 2 - First Name

Pilot 2 - Middle Name

Pilot 2 - Last Name

Pilot 2 - Suffix

Pilot 2 - Address on ID

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pilot 2 - Birthdate

YYYY

[N/A - leave this field blank]

Pilot 2 - Email Address