Entry Form
PAVE the Way 3D Design Challenge
Sponsored and Presented by B&N Industries
Name
Permanent Address
Phone Number
** Please provide phone number where you can be reachable in December 2010.
E-Mail Address
Other Contact Numbers
School Name
School Department Name
School Address
Instructor/Professor(s)
Instructor’s Phone Number
Instructor’s E-Mail Address
Project Name
 
I would like more information on PAVE and becoming a lifetime student ambassador for the PAVE organization:

Yes No
All information must be completed in full for submission.

All entries must be received by Nov. 19, 2010.
See design challenge guidelines at www.paveinfo.org for complete details.
You must attach a signed disclaimer with your entry. Disclaimers are available at www.paveinfo.org.

Please make a pdf of this form before hitting the Submit button.

THIS FORM, along with the disclaimer, MUST BE INCLUDED WITH YOUR ENTRY.