ORDER BLANK [Free Publications]               DATE ____/_____/____

	For Faster Service Use A Self-Addressed Mailing Label When
	Not Using This Blank. Please Print Or Type All Information.

	Mail To:
 
        U.S. Department of Transportation
        Subsequent Distribution Office 
        Ardmore East Business Center 
        3341 Q 75th Ave. 
        Landover, MD 20785

Help Line: 301-322-4961      FAX REQUEST TO 301-386-5394 DOT Warehouse

     NUMBER                    TITLE                   QUANTITY

AC No. 00-2.13      Advisory Circular Checklist           1
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SVC-121.23
Request Filled by____________________________   Date ____/____/____

1. Out of Stock [reorder in     day]** 3. Cancelled, no replacement

2. Being revised                       4. Cancelled by_______[enclosed]

      5. Other:_____________________________________

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**IF YOU DO NOT RECEIVE DESIRED PUBLICATION(S) AFTER YOUR SECOND
REQUEST PLEASE CALL FAA'S TOLL-FREE CONSUMER HOTLINE: 1-800 FAA-SURE.
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   TO COMPLETE ORDER:   Enter Name and Address.  DO NOT DETACH.

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NAME

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STREET ADDRESS

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CITY                 STATE           ZIP CODE