Registry Form for a "Spirit of St. Louis / Spirit of the Blue Planet" Sponsoring Group

I/We would like to sponsor the X Van candidate for the X PRIZE as a "Spirit of St. Louis / Spirit of the
Blue Planet" Sponsor. I am/We are sending a check (or postal money order) for
(US$10,000 minimum) to: PanAero, Inc., P.O. Box 223777, Chantilly, VA 20153-3777

I/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. 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 and help.

Len Cormier
X Van Program Manager/tour2space Sweepstakes Manager