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2. Fee Information

   A $30 fee is required before your name will be placed on the T-hangar wait list(s). Please call 303-271-4850 to provide payment after submitting this form.

4. Disclaimer
   Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
6. Today's Date*
   Today's Date
8. First Name*
9. Last Name*
11. Address*
13. City
14. State
15. Zip Code
16. Country
18. Phone Number*
19. Email Address
21. Category of Aircraft*

    1. I (Single) 39 feet by 28 feet and 6 inches with 140 inch doors
    2. II (Single) 41 feet by 31 feet and 6 inches with 154 inch doors
    3. III (Twin) 55 feet and 6 inches by 44 feet with 194 inch doors
23. Verification*

    I understand that my name will be placed on the waiting list upon receipt of payment of the t-hangar wait list fee . If there are any changes to this information, I will contact the airport as soon as possible

    1. I agree to the above statement.
25. Do you currently own an aircraft?*

    1. Yes
    2. No
27. If no, when do you expect to get an aircraft?
29. Notes
    * Pursuant to C.R.S. § 24-72-203, information submitted on this form is subject to any public records request for said information.
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field