Application for Participation in a Penrose Conference
Please print, complete this form, and mail it to the designated contact person for your conference of choice.
Title of Penrose Conference _____________________________________________ _________________________________________________________________________ Your name and title______________________________________________________ Organization_____________________________________________________________ Mailing address__________________________________________________________ _________________________________________________________________________ Telephone number (______)________________________________________________ E-mail address___________________________________________________________ Field of interest________________________________________________________ Below, please state briefly what your interest and experience have been with regard to the conference topic.