eGY Endorsement Printable Form

Please mail endorsements to the eGY Secretary:

W.K. (Bill) Peterson
Laboratory for Atmospheric and Space Physics
University of Colorado, Boulder
1234 Innovation Drive
Boulder, CO 80303 USA

Individual Endorsement

Name: ___________________________________

Institution: ____________________________

Email Address: __________________________________

Additional Comments (optional):

Organizational Endorsement

Name of Group: ___________________________________

Website Address (if applicable): ____________________________

Person Submitting: _____________________________

Institution: ____________________________

Email Address: __________________________________

Additional Comments (optional):