Your Full Name:Coen Schmitz ________________________________________________________________________________________________________________
Your Ship's Call Sign:Weimar ________________________________________________________________________________________________________________
Proof of your ID and IFF:IdentificationAffiliation ________________________________________________________________________________________________________________
Proof of Neutral or Friendly Reputation with Samura Heavy Industries:Reputation ________________________________________________________________________________________________________________
Your Reason(s) for Applying:I wish to use Shiojiri Storage Depot as a rest stop aswell as the main purpose of buying your ore and possibly supplying needed base equipment ________________________________________________________________________________________________________________