To enter the design competition, please return $25 (US Dollars) and this form to:
Christopher Niezrecki
Department of Mechanical and Aerospace Engineering
University of Florida, 231 Aerospace Building
P.O. Box 116250
Gainesville, Florida 32611-6250
Make checks payable to: Christopher Niezrecki
All entries must be received by February 13, 2004. Any entries arriving after this date will not be considered.
Faculty Member Sponsor: ___________________________________________________
School Name: ____________________________________________________________
Address: ________________________________________________________________
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Phone: ____________________________ Fax: _______________________________
e-mail: _________________________________________________________________
Team Captain Name: _________________________ e-mail: ____________________
Team Member Names: _________________________ e-mail: ____________________
_________________________ e-mail: ____________________
_________________________ e-mail: ____________________
_________________________ e-mail: ____________________
Team Name: ______________________________________________________________
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To be completed by ANS 10th Topical:
Fee Paid: _______________________ Fee Received By: _____________________
Date Paid: ______________________ Team #: ______________________________
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