Engine Lease Request Form  

Lessee
Operator
Requirement Date
Exp Lessee Term
Engine Req Location

Select an Engine Type	-3 -5A -5B -5C -7B
Model	3B1 3B2 3C1
Max Thrust Rating (lbs)	18500 20000
Flight: Cycle Ratio	Less than 1:1 1:1 to 1.1:1 1.1:1 to 1.2:1 1.2:1 to 1.3:1 1.4:1 to 1.5:1 1.5:1 to 1.6:1 1.6:1 to 1.7:1 1.7:1 to 1.8:1 1.8:1 to 1.9:1 1.9:1 to 2:1 More than 2:1
Fire Detection System Required	Systron Donner Walter Kidde

Advise if any special variant required
Cruise ECM Capability:	Yes No
Take-off ECM Capability:	Yes No
Average Thrust De-rate	0% 5% 10% 15%
Certification Required:	FAA EASA
To be installed on Aircraft Reg.:
Engine Serial Number Being Removed:
Intermix Capability:	Yes No

Lessee	Contact Name:
	Direct Work Phone:
	Mobile Phone:
	Email Address:
Freight forwarder details (if available)	Company:
	Contact Name:
	Phone:
	Mobile phone:
	Email address:
Ship To Address Details	Facility:
	Address:
	Contact Name:
	Phone:
	Mobile Phone:
	Email Address: