Merchant Form

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Greenstone Hill Office Park
Building No 8, Ground Floor
Emerald Boulevard
Greenstone Hill Ext 22
Hold this QR code
Edenvale, Johannesburg
to your smartphone
South Africa,1610
and learn more about
Office: +2711 6090123
MH Aviation Services
E-mail: info@mhaviation.co.za
Merchant Form
PLEASE LIST ALL ICAO’S WHERE YOU CAN PROVIDE SERVICES:
Confirm if card will be automatically accepted or if you require us to “Pre-Advise” you before arrival.
We require “Pre-Advisal” (Tick if applicable)
COMPANY INFORMATION
Company Name
Parent Company/Holding Company (if Applicable)
Operations Manager
Phone Number
Physical Address
Bank Name
Postal Address
Fax Number
Postal Code/City
City
Country
E-mail Address
Phone Number
SWIFT Code
Fax Number
Fax Number for Payment Advices
E-mail Address
IBAN Code
24 hours Phone Number
E-mail Address for monthly invalid card list
Website Address
Account Number
Authorized Officer/Owner
SITA
Year Business Started (dd/mm/yyyy)
Currency to be paid in
Accounting/Finance Manager
Hours of Operation
PLEASE INDICATE BELOW ALL SERVICES THAT CAN BE BILLED THROUGH YOUR COMPANY ON THE MHAS CARD:
Jet Fuel
Aircraft Parts
Avionics Maintenance
Pilot Lounge
Avgas
Hangarage
Engine Maintenance
Aircraft Cleaning
Aircraft Handling
Ground Transport
Charter
Hotel Arrangements
Landing Fees
Avgas
Customs
Over flight Clearances
De-Icing
APU/GPU Power
Ground Transport
Car Rental
Catering
Charter
Date (dd/mm/yyyy)
Owner/Manager Signature
Name in block letters
Please note:
Completion and return of this document signifies acceptance of the MHAS Card. Please ensure all personnel are aware of the procedures.
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