Space Access Technologies (SAT)
Request For Spaceflight Services
Date:*
(ddmmyyyy)
1. Payload Organization 
(Name & POC info)*
Name
Address
Phone
Email
2. Payload Title / Short Title / Acronym
3. Sponsor if Different from 1. (Name & POC info)
4a. Payload Description (Instrument or S/C?)*
 –Please include descriptive URL if applicable
4b. Drawing/Picture
5. SAT Requested Services (Double click all that apply)
Space Launch Services On Orbit Operations
Launch Vehicle (LV) Integration Ground System
Spacecraft (S/C) Bus Support Payload Data Distribution
Payload to S/C, Integration & Test Other (Specify):
6a. Number Of Flights Requested/Required:*
6b. Flight Duration Requested/Required:*
7. DESIRED FLIGHT MODE (1=Preferred, 2=Acceptable, Blank=Unacceptable)
Deployable Free Flier Non-deployable Piggyback Suborbital Other (Specify):

8. Mass (Kg)*
9. Dimensions (cm)*
X X
10. Total Volume (cc)
11. Power (W)
a. Stand-By b. Nominal c. Maximum
12. Typical Duty Cycle (% of operation)
a. Stand-By b. Nominal c. Maximum
13. Stabilization Type
14. Orbital Parameters
a. Apogee (Km)*
+ -
b. Perigee (Km)*
+ -
1c. Inclination (Degrees)*
+ -
15. Other Spaceflight Requirements: (e.g., payload recovery or de-orbit)
16. Other Payload Sensitivities: (e.g., max data downlink per day)
17. Payload Status (If not flight ready, check R&D status)
Flight Ready
Flight H/W Earliest Delivery Date 
17a In Development
Concept  PDR  CDR  In Build
17b. Payload CDR Date 17c. Payload Delivery for S/C I&T Date:
20. Spaceflight Funding Breakdown (Funds Available)
a. Category
b. Start Year ($M)
c. Year + 1($M)
d. Year + 2 ($M)
e. Total Funding
Integration & Test
Launch
On-Orbit Operations
Total Space Access
Education Surcharge
I agree that 10% of the A2S cost will be used to subsidize deserving Academic payloads (does not affect price).
Y N
21. Data Processing & Results Dissemination Plan*
22. Security Information (State highest levels)*