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FAX: (602) 436-1252
SITA: PHXHWCR
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New Account:
If you do not currently have an account with L-3 Communications and would like to place orders with L-3
Communications, a Customer Credit Application and End Use/End User Certification form (see following
pages) must be completed and mailed or faxed to:
Nancy Garcia
L-3 Communications, Inc.
Commercial Aviation Systems
Credit/Collections Department
P.O. Box 21111
Phoenix, AZ 85027
TEL: (620) 436-3371
FAX: (602) 436-1252
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END USE/END USER CERTIFICATION
To: Whom It May Concern:
Re: Compliance with United States Export Regulations
It is L-3 Communication’s policy to verify the end use and end user in all sales and repairs of L-3 Communications products
and in all transfers of technical data or software to ensure compliance with applicable U.S. export control laws and
regulations. Because the products you are purchasing, or software or technology you are licensing, may be exported and
used outside of the United States, please confirm the following:
1. I (We) will not export or reexport any L-3 Communications products, technology or software to Cuba, Iran, Iraq, Libya,
North Korea, Sudan, or Syria, Federal Republic of Yugoslavia (Serbia), singular entity of Ariana Afghan Airlines or any
other country on the US Debarred list, unless otherwise authorized by the United States Government.
2. I (We) will not sell, transfer, export or reexport any L-3 Communications products for use in activities which involve the
development, production, use or stockpiling of nuclear, chemical or biological weapons or missiles, nor use L-3
Communications products in any facilities which are engaged in activities relating to such weapons.
3. I (We) acknowledge that U.S. law prohibits the sale, transfer, export or reexport or other participation in any export
transaction involving L-3 Communications products with individuals or companies listed in the U.S. Commerce
Department’s Table of Denial Orders, the U.S. Treasury Department’s list of Specially Designated Nationals or the U.S.
Department of State’s list of individuals debarred from receiving Munitions List items and other applicable lists,
i.e. Entity List.
4. I (We) will abide by all applicable U.S. Export control laws and regulations for all products purchased from
L-3 Communications and will obtain any licenses or approvals required by the U.S. Government prior to export or
re-export of L-3 Communications’ products, software or technology.
....................................................................................................................
....................................................................................................................
Signatu re Date
....................................................................................................................
....................................................................................................................
....................................................................................................................
Print Person’s Name Company Name
....................................................................................................................
....................................................................................................................
....................................................................................................................
Title Address
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Originating L-3 Office: __________________ U.S. Federal Tax I.D. # __________________
CUSTOMER CREDIT APPLICATION
Please provide the following information to facilitate establishing a business account for use in purchasing L-3
Communications Aviation Communications and Surveillance Systems goods and services:
Please Check One:
Bill to Name______________________________________________ _______________ Corporation
_______________ Partnership
________________________________________________________ _______________ Individual Proprietorship
(Street, P.O. Box) Address to which invoices and statement will be sent) _______________ Other __________
________________________________________________________ (Describe)
Ship to Address: The address to which products will be shipped. Estimated annual orders:
_________________________________________________________________________________
(Street Address)
______________________________________________________________________________________________________
City State Zip Code, Postal Country
______________________________________________________________________________________________________
Date Business Started Type of Aircraft Owned/Serviced (if applicable) Monthly Line of Credit Requested
　
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