eSpaceTickets.com - Survey Form

					2009

Rovers On The Moon Survey
We need your input, please take one minute to complete our short survey. Thank you!

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Name
City
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One sentence comment.
Do you or a family member want to go to outer space? Yes No YES, I would also like to help, please send me details. Have you visited the Google Lunar X PRIZE website? Yes No Will you show your support for the Rovers On The Moon Contest? Yes No Would you like to see in your lifetime humans on Mars? Yes No I want to see team SYNERGY MOON rovers on the Moon first. Enter the numbers from the following screen.