TO:  Federal Aviation Administration
  Little Rock Flight Standards District Office
  1701 Bond Street
  Little Rock, AR  72202
 
 
 
PLEASE ACCEPT THIS AS MY PROGRAM LETTER:

I HEREBY SUBMIT THIS PROGRAM LETTER REQUESTING AN EXPERIMENTAL AIRWORTHINESS CERTIFICATE TO OPERATE THIS AIRCRAFT FOR THE PURPOSE OF FLIGHT TESTING (PHASE I) WITHIN AN AREA DESCRIBED BELOW, FOR ______ HOURS, TO MEET THE REQUIREMENTS OF F.A.R. 91.319(b) AND FOR MY OWN PURPOSE OF RECREATION AND EDUCATION,  AS REQUIRED BY F.A.R. 21.193(a).  IN ADDITION, THIS AIRCRAFT SHALL BE OPERATED IN ACCORDANCE WITH THE APPLICABLE AIR TRAFFIC AND GENERAL OPERATING RULES OF F.A.R. 91 AND ALL ADDITIONAL LIMITATIONS THAT IS ATTACHED TO THE CERTIFICATE OF AIRWORTHINESS (FAA FORM 8130-7) WHICH WILL BE CARRIED ONBOARD OF THIS AIRCRAFT AT ALL TIMES.

Flight Test Area
 
 
 
 
 
 

  AIRCRAFT MAKE (BUILDER):   ________________________
 
  AIRCRAFT MODEL:   _________________________

  AIRCRAFT REGISTRATION NO.:  _______________

  AIRCRAFT SERIAL NO.:   ______________________
 

SIGNATURE: ________________________             DATE:   ______________
 

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