GRANT APPLICATION FORM
For participating to the Communicating Astronomy with the Public 2007 conference (8-11 October) in Athens, Greece.

Last name:

First name:

Age:

Country of origin:

Country of residence:

E-mail:

Telephone:

Fax:

Affiliation (include address and contact info):



Are you asking for (mark all that apply):

[  ] Travel expenses grant
[  ] Accommodation expenses
[  ] Registration fee

If you are asking for travel support please specify estimated ticket prices in Euros or US Dollars (please use the cheaper available):


Date:


Signature: 




Please return by Fax to +30-210-6597602 or by email to cap2007@academyofathens.gr.
Please send also a brief CV.