Fillable 12isorderform Pdf Standard Kit (Van's Aircraft)

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12isorderform Pdf Standard Kit (Van's Aircraft)

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BEFORE YOU ORDER AN RV-12, PLEASE READ THIS!
Philosophy
The RV-12 Kit was designed to licensed as an Experimental Light Sport aircraft (E-LSA). While it is also eligible for
licensing in other categories such as Experimental Amateur-Built (E-AB) or under other rules in countries outside the
jurisdiction of the FAA, we strongly emphasize that the RV-12 is the product of careful design and extensive testing.
From the spinner to the rudder it is a fully integrated system. We do not believe it is in the best interests of an RV-12
builder to delete, substitute or modify any component in the kit.
Bottom line: Build it exactly as it is designed and supplied…we know you will love it.
Licensing Requirements (E-LSA)
If a builder intends to license their RV12 as an E-LSA, they will be required to supply a completed FAA Form 8130-15
(Light Sport Aircraft Statement of Compliance) to the FAA at the time of licensing. The completed Form 8130-15 is
supplied to the builder by the manufacturer (Van’s Aircraft, Inc.) only after the builder has purchased all of the RV-12
sub-kits in their complete form. Van’s Aircraft, Inc. is unable to issue the Form 8130-15 Statement of Compliance
unless every component of the kit (including powerplant and propeller) has been purchased through Van’s Aircraft.
Bottom line: If you plan to license your RV-12 as an E-LSA, you cannot delete kit components.
Credit for Deletions (deletions are not allowed on E-LSA kit purchases)
Each complete kit is designed, produced, sold, crated and shipped in a manner that optimizes efficiency and the val-
ue of the kit. Kit component deletions result in reduced efficiency and increased costs. Consequently, the credit al-
lowed for deleted components is adjusted to reflect the discounted price of the component when it is included as part
of the complete kit.
Bottom line: You will receive less than retail credit for deleted kit components, including the engine and pro-
peller.
Returns Policy for RV-12 Components
RV-12 builders who choose to return or delete kit components will not receive a Form 8130-15 and will not be eligible
to license their RV-12 as an E-LSA. It will be eligible for FAA licensing as E-AB (Experimental—Amateur-Built). Van’s
standard return policy and restocking fees will apply to RV-12 components. A customer who deletes or returns com-
ponents will be required to fill out, sign and return a “Non-Standard Kit” affidavit prior to shipment of their kit receiving
credit for a return.
THANK YOU FOR YOUR INTEREST! ENJOY YOUR RV-12iS!
7-1-19
RV-12iS E-LSA KIT ORDER FORM
Customer Number (assigned w/ Emp kit)
Name
Mailing address
Shipping address (if different)
Day phone
e-mail
Fax
Eve phone
PLEASE READ AND SIGN BELOW
1. Kit prices are prices in effect the day order is received.
2. A 25% deposit must accompany kit orders.
3. Customer-instigated delays may result in price increases.
4. Kits must be paid in full before they can be shipped.
5. $500.00 non-refundable if order is cancelled.
6. Payment in U.S. funds: check, money order, or Visa/
Mastercard/Discover.
7. Kit/plans orders must be in writing (mail, email or FAX).
8. Prices are ex-works Aurora, Oregon.
9. Freight charges are prepaid or collect, depending on
carrier.
10. Van’s Aircraft, Inc. cannot assist in certifying kits outside
the USA.
11. Prices are subject to change without notice.
12. Sign and return Van’s Aircraft standard Waiver and Re-
lease of Liability Agreement
13. No items may be deleted or returned from E-LSA kits.
Signature:___________________________________
Do not submit Credit Card information via email! If you plan to email your order form to Van’s and pay with a credit card, please omit any credit
FASTENER KIT Blind rivets for entire airframe. Includes Standard Aircraft Handbook. Pricing
fasteners separately allows lower overall kit price. ONE-TME purchase with first subkit.
$380.00
EMPENNAGE/TAILCONE KIT All components for empennage and aft fuselage. $2,775.00
WING KIT All components for wings and flaperons. See options choices on other side.
$6,750.00
FUSELAGE KIT All components for fuselage between firewall and rear baggage bulkhead.
Optional pre-built fuel tank. Select iS or ULS engine option.
$6,425.00
NOTE: This Finish Kit ONLY for Fuselage kits shipped AFTER August 2017
If the FUSELAGE KIT shipped before Aug 2017 USE OTHER ORDER FORM
FINISH KIT Seat cushions, seat belts, cowling, canopy, and landing gear components. Check
interior and other option choices on separate forms
NOTE: Seat cushions ship directly from supplier. NOTE: Engine option must be selected
$10,595.00
OPTIONS See choices on other side. Enter total cost of options. (if using fillable form leave blank)
TOTAL CRATING CHARGE (if using fillable form leave blank)
TOTAL ORDER (if using fillable form leave blank)
METHOD OF PAYMENT (if credit card,
enter number/exp. date)
AMOUNT ENCLOSED (25% minimum deposit required)
Authorization to use Credit Card for Final Payment Yes No (select one)
Customer Number of Previously Completed/Flown RV: ___________________
7-1-19
E-Mail to: kits@vansaircraft.com
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signature
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OPTIONS
Some optional kits are best installed during construction are shown here. See Van’s Accessories Catalog for more choices. Enter the
amount for the option in the box on the right. Add the total for each airframe kit and enter the amount on the front of the form.
WING KIT OPTIONS
Lighting Kit: Includes strobes, position, single landing light, and cabin lights.
Dual Landing Light Kit: Add left wing light. Only for iS engines
$1,650.00
$345.00
Name: _________________________ Date: _____________ Customer Number: ______________
FUSELAGE KIT OPTIONS
PREFABRICATED FUEL TANK: Completed fuel tank ready to install
ULS ENGINE OPTION: If you intend to use Rotax 912 ULS
iS ENGINE OPTION: If you intend to use Rotax 912iS
$600.00
$75.00
$50.00
FINISH KIT OPTIONS
NOTE: Use other order form for Fuselage kits shipped prior to August 2017
Select Rotax Engine Option: iS Engine Finish Kit
ULS Engine Finish Kit
$240.00
$20.00
EMPENNAGE KIT OPTIONS
Stabilator Fairing Kit : Fiberglass tip fairings $160.00
OPTIONS
Some optional kits best installed during construction are shown here. See Van’s Accessories Catalog for more choices. Enter the
amount for the option in the box on the right. Add the total for each airframe kit and enter the amount on the front of the form.
Circle the crating charges that apply, total, and enter the amount on the front of the form.
Name: _________________________ Date: _____________ Customer Number: ______________
FINISHING KIT OPTIONS
COLOR CHOICES and INTERIOR OPTIONS
• Upholstered seat cushions and seat belt/harnesses are included in the Finish Kit price
• Sidewalls, Carpet and Baggage Trim are extra cost options.
• Seat Belts and Harnesses are in the Finish Kits shipped from Van’s.
• Cushions/ Interior options ship directly from Flightline Interiors and will not be in the shipment from Van’s.
• Please choose color from list below. Color samples and photos are posted on Van’s website.
http://www.vansaircraft.com/pdf/order_forms/RV-12/RV-12-interior-options.pdf
Cushion and Interior Color
(check appropriate box)
*Cushions
(check one)
Sidewalls
$610
Carpet
$385
Baggage Trim
$305
Seat Belt/Harness
Color (select one)
Gray/Gray (ash/pewter)
Black
Gray/Red (ash/olympia scarlet) Cloud Gray
Gray/Blue (ash/indigo) Dark Blue
Tan/Tan (antelope/toast) Taupe Brown
Tan/Red (antelope/olympia scarlet)
‘EXPERIMENTAL’ embroidered into baggage
bulkhead trim (No extra cost - Check box if desired)
I want something that's not included in the
listed options. I’ll pay the standard
amount with my kit order and contact
Flightline Interiors for custom options
(additional cost).
www.flightlineinteriors.com
Please ship cushions and interiors to the following address:
Name:
Address:
Phone:
WHEEL FAIRING KIT - Includes wheel and nose gear leg fairings and hardware.
$895.00
RV-12 GLARESHIELD - Improves visibility and reduces reflections in the windshield.
$115.00
CANOPY TRIM KIT - Offers a more finished appearance to complement interior.
$80.00
TOTAL OF ALL OPTIONS: (enter on front of form— if using fillable form leave blank)
$
CRATING CHARGES
Empennage Wing Fuselage Finishing Kit
STANDARD $90 $90 $90 $90
TOTAL CRATING CHARGES: ENTER ON FRONT OF FORM: (if using fillable form leave blank)
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12isorderform Pdf Standard Kit (Van's Aircraft)

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Completed 15 July 2020

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