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Please fill out and submit the following form to tell us of the area(s) you would be interested in participating
and a little about yourself. (Items marked * are required)

First Name:* Last Name:*
Phone:* E-Mail:*
Other Phone: Location*
Best time to call:*
I am interested in participating in the financial support and helping with the work in the following category:* NOTE: Please select at least one area of interest.
You may select more than one area if you wish. You will be contacted as to which are available for a final choice.
Aluminum 1 – $500.00
Aluminum 2 – $500.00
Nozzle and Liner – $500.00
Carbon Fiber – $500.00
Electronics Package – $1000.00
Electronics 1(GPS) – $500.00
Electronics 2 (FC) – $500.00
HTPB Rubber – $500.00
Oxidizer – $1500.00
Racing Nitrous 1 – $500.00
Racing Nitrous 2 – $500.00
Racing Nitrous 3 – $500.00
Would you be able to travel to Santa Barbara, California to help with the work?*Yes  NoIf so, what dates:

Would you be able to travel to Black Rock, Nevada to help with the launch?*Yes  No

Tell us about yourself:

Are you 21 years of age or older?*Yes  NoAre you a U.S. Citizen?*Yes  No

*I fully understand that submitting this form is in no guarantee of acceptance for partipation or that the category I selected
is still available. I also understand that I will be contacted for further discussion and at that time, if agreeable to both parties, it
can be finalized and payment arangements can be made.

Please make sure all Items with an * are filled in and that you are sincere about this commitment
before submitting.

Thank you.