Submit Customer Payload Information

Primary Point of Contact

Your Name (required)

Your Email (valid email required)

Primary Phone Number

Secondary Phone Number

Organization

Name

Website

Address: Street

Address: City

Address: County

Address: State

Address: Zip

Type
CommercialEducationalGovernmentNon-Profit

Background Data

Payload/Mission Name

Purpose of Mission

General Description of Payload

Previous Space Related Experience

Partners and/or Subcontractors

Country of Partners Origin

Operational Data

Desired Duration of Experiment
Approximately 10 MinutesApproximately 1 DayApproximately 1 Week1 Month3 Months6 Months9 MonthsLonger than 12 Months

*If “longer,” please specify in remarks area general remarks area below

Special Installation Requirements

Operational Requirements

Data Retrieval Requirements

Interface Requirements

Payload Data

Cubelab Configuration
1 x 11 x 21 x 3Other

Mechanical Description

Estimated Mass

Internal Power Subsystem

Estimated Power Requirements

Thermal Signature

Acoustic Signature

General Remarks