Executive Regional Airport Services Request Information is required in all fields (except the additional information box). EDA: MMJanFebMarAprMayJunJulAugSepOctNovDecDD12345678910111213141516171819202122232425262728293031YY20172018201920202021 ETA: hh00010203040506070809101112131415161718192021222324mm000510152025303540455055 EDD: MMJanFebMarAprMayJunJulAugSepOctNovDecDD12345678910111213141516171819202122232425262728293031YY20172018201920202021 ETD: hh00010203040506070809101112131415161718192021222324mm000510152025303540455055 FUEL REQUIREMENTS: —Please choose an option—Jet-AAvGas WOULD YOU LIKE TO RESERVE THE CONFERENCE ROOM? YesNo IF SO, please select time8:008:309:009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:00 duration?15 minutes30 minutes45 minutes1 hour2 hoursmore Δ 355 AIRPORT ROAD RESERVE, LA 70084 CHARLES PALMERAirport Supervisor 985-652-9278X8512 [FBO] | X7020 [DIRECTOR] 985-212-1712 CPALMER@PORTSL.COM PSL-ERA@PORTSL.COM