Manual Request for Morse Code Practice Unit (MCPU)

IMPORTANT:
Because of inadequate resources in time and material, I am currently limiting
issues of morse hardware to individuals only, who are students (middle school,
high school, college) under 25 years of age (remember, under age 18 requires
a sponsor), and to any individual of any age who resides in the central Texas
area (Travis, Williamson, Hays, Bastrop, Blanco counties).  Sorry, I wish I
could be more generous, but I also wish I had more time and materials ;-)

Every field is required to be filled out, and every question answered, for a
successful submittal.  Cut and paste this text into a separate .TXT file, or
into an e-mail, and e-mail it to me at:

n5ese@prismnet.com

In the subject line, place the text "MCPU Request"

Thanks for participating in the Come-Along Project.  We'll respond within a
few days, if possible, or at most a couple of weeks.  If you haven't heard
from me by then, drop me an e-mail directly.

regards, Monty, N5ESE

MCPU Request
------------

Your First Name:

Your Last Name:

Your Age:

Your Email Address:

Your Street Address (mailing address):

Your City, State, and Zip Code:

     Note: Sorry, USA addresses only.  Also, some states may
     restrict electronic assemblies which are non-RoHS-compliant
     (i.e., contains lead, which is the case with the MCPU).
     If you live in one of these states, no shipments can be made.

AGREEMENT
---------

NOTE:  By answering "Y" or "YES" below, you affirm to each of the
statements, as it applies to you (yourself).

Do you acknowledge that your age is as represented above?

Do you acknowledge that the name and address above is your own?
(not that of a minor you may be sponsoring)

NOTE: The Morse Code Practice Unit (MCPU) is a device intended for:
    *  assisting a beginner to learn morse code for radio telegraphy
    *  assisting in the increase of proficiency in radio telegraphy

Do you understand the intention of the MCPU, as outlined above?

Do you intend to use the MCPU to fulfill one or both of those purposes?
(or to sponsor and encourage a minor to do so)

Do you understand that the MCPU is loaned to you?
By answering in the affirmative, you agree to return the MCPU (without
batteries) when you done using it, or when you discover it is not useful
to you; alternatively, you may pass it on to someone else who qualifies,
provided they likewise agree to these terms


If you are sponsoring a minor, please indicate their age: