Application For the National Underwater Robotics Challenge 2008
Our Policy:
Any information you provide will remain strictly confidential. Our organization will not solicit you with any other offers, nor will we share your information with other organizations.
Name of Team:
School or Organization:
Street Address 1:
Street Address 2:
City:
State:
Zip:
Country:
Check one:
Grade School/Home School
High School/Home School
College/University
Corporation/Industry
Student Team Members (please list):
Adult Team Members (please list):
Primary Contact Name:
Primary Phone:
Primary E-mail:
Alternate Contact Name:
Alternate Phone:
Alternate E-mail:
Method of Payment:
-- Select One --
On-line (through Pay-Pal)
Cashier's check (via US Mail)
Please submit payment of $250.00 if before April 4th 2008 or $300.00 if after April 4th 2008 to Paypal using the
Add to Cart
button below or send a
cashier's check
for this amount to
Si Se Puede
:
Si Se Puede
c/o Fredi Lajvardi
Carl Hayden High School
3333 W. Roosevelt
Phoenix, AZ 85009
A receipt or invoice will be mailed to the Main Contact. Remember, payment is final, there are no refunds. Your registration will not be finalized until both your application and entry fee have been submitted. There are only 24 spots available, on a first come, first served basis.
To pay using
Paypal
, click here: