Fillable RV-12 ULS Legacy Order Form

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RV-12 ULS Legacy Order Form

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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 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. Van’s standard return policy and restocking fees will apply to RV-12 compo-
nents. A customer who deletes or returns components 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. WE HOPE YOU ENJOY YOUR RV-12!
7-1-19
RV-12 E-LSA FINISH 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. 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
card information from the form and either call us with your CC# or use Van’s Webstore to make a secure online payment.
NOTE: This form only used for RV-12 kits with the FUSELAGE kit shipped
prior to August 2017
FINISHING KIT Seat cushions, seat belts, wiring harness,cowling, canopy, and landing gear
components.
Check interior and other option choices on other side.
NOTE: seat cushions and interior options ship directly from supplier. Plexiglass aft window added to
finish kit in January 2016. Delete (see Options) if you have an earlier fuselage kit, and wish to use
your Lexan window.
$10,700.00
OPTIONS See choices on options page. 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
USE THIS FORM ONLY FOR FUSELAGE KITS SHIPPED PRIOR TO AUGUST 2017
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.
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 Finishing 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
$565.00
Carpet
$355
Baggage Trim
$285
Seat Belt/Harness Col-
or (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)
Please ship cushions and interiors to the following address:
Name:
Address:
Phone:
DELETE PLEXIGLAS REAR WINDOW –
Select ONLY if you already have a Lexan aft window.
$350.00
credit
PREFABRICATED FUEL TANK - For Pre-August 2017 Fuselage kits ONLY $600.00
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 N/A N/A N/A $90
TOTAL CRATING CHARGES: ENTER ON FRONT OF FORM: (if using fillable form leave blank)
‘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
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RV-12 ULS Legacy Order Form

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Completed 2 July 2020

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