* required information
Space Certification Application 
Contact Information
Title:
First Name:*
Middle Initial:
Last Name:*
Job Title:
Business Phone:*
Email:*
Company Name:*
Mission Statement/Company Description:*
Company Website:*
Address Line 1:*
Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:*
Country:*
2nd Point of Contact Title:*
2nd Point of Contact Phone:*
2nd Point of Contact Email:*
Product/Service Name:*
Product/Service Description:*
Years product/service has been on the market:*
Latest FY gross sales:*
Where is product/service sold/distributed?:*
Space Relationship::*
Competitors:*
Certification Category:* N/A
Space Technology
Space Educational Product
Space Imagination Product
How will you use the certification seal?( Check all that apply):* On Product/Packaging
On Collateral Materials
Advertising
Other
If other was checked, please specify:
How did you hear about us?:*
Payment Options
I will pay application fee today!
$250.00
I will pay by check
If you are mailing your check to the Space Foundation please note “Application Fee” on yourc heck and send to:
Space Foundation
Space Certification Program 4425 Arrowswest Drive Colorado Springs, CO 80907
 
I would like to sumbit a wire transfer
Please call Space Foundation
Accounts Receivable Associate
Erin Peterson, at 719.576.8000.
Please mention payment of the Space Certification application fee.
 


Please Note: Certification applications will require a $250 non-refundable application fee per product/service.
The application fee is required before your application will be considered for approval. This fee is non-inclusive of negotiated licensing fees.