Decommission Request Form – Aviation Spectrum Resources Inc.

If you need assistance with this form, please call +1-410-266-6030.

Decommission Request

Company Information

Company Name

Headquarters Address

Headquarters Address

Headquarters Address

Headquarters Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Separate Billing Address?

No

Yes

Billing Address

Billing Address

Billing Address

Billing Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Point of Contact

First Name

Last Name

Title

Email

Phone

Mobile Phone

Decommission Request

Location of Service

Airport Code or Street Address

Date to Decommission License

Call Sign

Questions or Additional Information

If you are human, leave this field blank.

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