Adopter: ___________________________________________                                         

Street _____________________________________________

City/State/ZIP ______________________________________

Phone ___________________________

I do hereby apply to adopt a solar cell to be used on the Waller HS Solar Powered Race car.

I want to help the Waller Solar Team make their goal. I wish to sponsor the solar cell(s) as listed below.

____ One cell   @  $10

____ One row of cell on a sub panel  ($40.00)

____  One column of cell on  sub panel    ($90.00)

____ One half an entire sub panel ($180.00)

____ A complete sub panel $360.00

____ Other donations (cell quantity___)
                                                                                                                Dr. Robert H Faber
                                                                                                                Waller High School
                                                                                                                20950 Fieldstore Rd.
                                                                                                                Waller, TX  77484
Received By ________________________________

Cash _____  Check ________ Charge ______

Visa   MC ________________________________              Exp. Date ____________