Please print this page, fill it out, and send it to Trans Lunar Research with a multi-page summary of your proposal

Trans Lunar Research Grant Program
Preliminary Grant Proposal Form


1) Full Legal Name(s) and address(es) of entity (applicant) submitting the Proposal:


2) Applicant's authorized representative:

     Name:                                                                    Phone number:

    Street Address:                                                        Fax number:

    City:                                                                        E - mail address:


3) Primary development area the proposal seeks to address (Brief description):


4) Grant funds requested ($000):


5) Summary of project (up to 3 pages) It should be typewritten on separate sheets.


Signature of authorized representative                            Date _______________________

__________________________________  Title_____________________



Send replies to:

Trans Lunar Research Corporation 
P.O. Box 661
Mojave, CA 93502-0661

If your preliminary proposal is of interest to Trans Lunar Research, you will be contacted for further details.