Confidential TACRA/StrongMobile  Survey for Jan. 12, 2005 (strongware.com/Dragon) 

You can fill in this form, add your comments on the back side of the form, then 
FAX,  937-236-0361, scan & e-mail, RichStrong@aol.com, or USPS to: 
TACRA, c/o R. A. Strong, 7514 Belle Plain Drive, Dayton OH 45424-3229

Name:________________________________ E-Mail:___________________________

Address1: ________________________ Address2: _____________________________

ST: ____ ZIP: ______ Phone: ___________ Ext. ____  FAX #: ___________Ext. ____

Aero Rating(s): _____________________ PIC Time: _____ Gender: ____ Age: ____ 

Please describe activities that you would use your StrongMobile for:

organizational:____________________________ personal:____________________________

Title: ___________ Organization Name: ________________________ NAIC: _______

How many StrongMobiles would you use in your organizational or team fleet?: _____

Miles you'll drive per year for: a. business: ____,000 and b. personal: ____,000

Flight hours per year for: a. business; _______ and b. personal; _______

If you would co-own with others, then enter the total for all. How many?: _____

Would you join a Team?: Yes ___ No ___ Hours you would spend building: ________

The basic Dragon will have SRS, A/C, power steering and brakes, ABS, automatic
transaxle, fixed-pitch fan with clutch, piston engine, & cruise control.

Enter how much you would pay for a 2-seat ___  or 4-seat ___  StrongMobile: 

a. kit: $_____,000 b. factory-built: $______,000 c. rent/lease/flt.hr: $_____

If you want more for the items listed, then enter how much more you want/need and
how much more you would pay for it. 

Over 10 years service life? Years; ____  Pay: $____,000   

Over 10,000 Flight hours; ____ ,000 Pay:$___,000     STOL version: $_____,000

Over 120,000 Road Miles; _____,000  Pay:$____,000    4-place version: $_____ ,000

Over 195 lb. Pilot & passenger(s) weight?: _____ lbs.  Pay:$____,000 

Over 66 lb. per occupant baggage/cargo weight?: ______ lbs.  Pay:$____,000 

Over 420 nm Range: ____nm  Pay:$___,000  Over 140KTAS Cruise: ____kts Pay:$__,000

Over 10,000 ft Cruise Ceiling: ____,000ft  Pay:$____,000   Autopilot: Pay:$__,000

Quasi-Retractable wheels? Pay:$___,000    Spare Tire: $___,000

Controllable-pitch fan: Pay:$___,000  Rotary engine: $___,000 

Turbocharger- Pay $___,000   Cabin Pressurization -$___,000

Questions and comments: _______________________________________________
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