RV-10 STANDARD KIT ORDER FORM
Customer Number (assigned w/ Emp kit)
Shipping address (if different)
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 increas-
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/
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
10. Van’s Aircraft, Inc. cannot assist in certifying kits out-
side the USA.
11. Sign & return Van’s Aircraft standard Waiver and Re-
lease of Liability Agreement.
12. Prices are subject to change without notice.
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.
EMPENNAGE/TAILCONE KIT $4,325.00
WING KIT $11,450.00
WING OPTIONS (enter total from back of form) (if using fillable form leave blank)
FUSELAGE KIT $17,125.00
FUSELAGE OPTIONS (enter total from back of form) (if using fillable form leave blank)
FINISHING KIT Finishing Kits are available for Lycoming (I)0-540 engines only. $16,810.00
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: ___________________
E-Mail to: firstname.lastname@example.org