Coastal Aviation, Inc.

1. Type____
____|_VFR__
____|_IFR___
____|_DVFR_

2. Aircraft
Ident.

3. A/C Type
Spec. Equip.

4. True
Airspeed

KTS.

5. Depart
Point

6. Depart Time (Z)
Proposed|Actual
|
|
Z| Z

7. Cruising
Altitude

8. Route of Flight

9. Destination

10. Est. Time Enroute
Hours |Minutes
|
|
|

11. Remarks

12. Fuel on Board
Hours|Minutes
|
|
|

13. Alternate Airports

14. Pilots Name

Address:
Tele. #
A/C Based @

15. Number
Aboard

16. Color of
Aircraft

CLOSE YOUR FLIGHT PLAN!!
WITH Anderson FSS
1-800-992-7433

Special Equipment Suffixes

/U - Transponder w/Altitude Encoding
/A - DME w/Alt. Encoding Trans.
/G - GPS w/Alt. Encoding Trans.