-------------------------------------------------------------------------------- TRAVEL GRANT APPLICATION ------------------------------------------ * US - EUROPEAN CELESTIAL MECHANICS WORKSHOP * Adam Mickiewicz University, Poznan, Poland, 3-7 July 2000 Please complete and return this form to the address shown below by e-mail. Family name: Given name: Organization: Address: Country: Year birth: Title / Position: Highest degree / year: Phone: Fax: E-mail: The sum of support requested: * travel: * accommodation: Another sources of funds applied: Subjects of recent published research: Topics of future research interest: Title of my contribution: Please attach an abstract and return by 15 February 2000. Edwin Wnuk, Astronomical Observatory, Adam Mickiewicz University, Sloneczna 36, PL 60-286 Poznan, Poland Fax: +48 61 8686511, E-mail: wnuk@juno.astro.amu.edu.pl --------------------------------------------------------------------------------