Registry for a Group of Associate Sponsors

Our group is interested in sponsoring the X Van Candidate for the X PRIZE

We are sending a check (or postal money order) for (US$5 per person) to:
      PanAero, Inc., P.O. Box 223777, Chantilly, VA 20153-3777

We would like more information as indicated in the question box below

Please fill out any of the following contact points that are appropriate:


Name of Person to Contact


email Address

Company (if applicable)

Address

City
State
(USA)
Country (other than USA)
ZIP (or other)
Questions and/or comments:
If your group comprises ten or less persons, please list them below.  (Note: any person who has purchased
$100 or more of our Prepaid Calling Cards or other products need not be included in your $5 per person
sponsoring check; please indicate any such persons with a (*) before the name). Thank you. 

Our group is large, and we shall send the names by FAX.  (PanAero's FAX: (202) 234-0663)

Thank you for your interest in the X Van project.

Len Cormier
X Van Program Manager / tour2space Sweepstakes Manager