Request Jay Apt For Your Program!

Your organization

What is the nature of your event?

On what date is your event being held?

In what city and state (or country) is your event?

When and for how long would you like Jay to present?

Which program(s) would you like Jay to present?

         Orbit: This View of Earth

         Far Beyond the Blue Sky

         Spacewalking and What’s It Really Like Up There?

         Incredible Speeds, Incredible Heights - Safely

         Launch Your Team into Orbit!

         How NASA Got The Picture

For all programs, a venue which can be made dark
helps the audience enjoy the program.

Equipment needs for Jay’s programs are:

• Computer projector with 1280 or 1024 resolution; Jay will bring his laptop
• Screen
• Microphone

Any additional information which will allow Jay to customize
the program to meet your audience’s specific needs:

Contact Information

Your name (or name of the contact)

Address

Telephone number(s)

Fax number

E-mail address

Your organization’s web site (if applicable)

How did you hear about Jay Apt’s programs?