RV-4 STANDARD 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 increas-
es.
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 out-
side the USA.
11. Prices are subject to change without notice.
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.
PREVIEW PLANS SET (required purchase before beginning construction)
$50.00
EMPENNAGE KIT $2,000.00
Empennage Options (enter total from reverse side of form) (if using fillable form leave blank)
WING KIT (Note: spar is not assembled - a prefabricated spar option is available on the next page)
$7,950.00
Wing Options (enter total from reverse side of form) (if using fillable form leave blank)
FUSELAGE KIT $6,000.00
Fuselage Options (enter total from reverse side of form) (if using fillable form leave blank)
2-20-20
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: ___________________
FINISHING KIT If you are NOT taking advantage of Van’s special OEM pricing on new Lycoming engines and are obtaining an engine from another source,
you must use the Special Finishing Kit order form. Use this form to order a Finishing Kit ONLY if you are purchasing a new engine from Van’s.
$7,000.00
Spinner type required (select one)
Hartzell constant-speed Sensenich fixed-pitch Wood fixed-pitch None ($120.00 credit)
Engine type (select one)
O-320-D1A/D2G IO-320-D1A O-360-A1A
E-Mail to: kits@vansaircraft.com