UNION INTERNATIONALE DES SCIENCES PRÉHISTORIQUES ET PROTOHISTORIQUES
INTERNATIONAL UNION FOR PREHISTORIC AND PROTOHISTORIC SCIENCES
UNIÃO INTERNACIONAL DAS CIÊNCIAS PRÉ-HISTÓRICAS E PROTO-HISTÓRICAS
Secretary of the XVth Congress of the U.I.S.P.P.
c/.Prof.Luiz Oosterbeek,
Instituto Politécnico de Tomar
Estrada da Serra
2300 TOMAR
Portugal

REQUEST FOR FINANCIAL SUPPORT

Name
Institution
Profession
Job title
Age
Address
Country
ZIP Code
Telephone
Email
Monthly income in Euro
(please attach receipt)
Role in the Congress
Member of the Executive Committee
Organiser of Colloquium on
Organiser of Workshop on
Other
Request support for:
Travel from to Lisbon and return on the amount of
Accomodation in Lisbon from to of September 2006.
Other
(specify nature and amount)
Date
Place
Signature
Note: Please attach any relevant endorsement letters and send to the Secretary (addresse below)
Secretary of the XVth Congress of the U.I.S.P.P., c/.Prof.Luiz Oosterbeek,
Instituto Politécnico de Tomar, Estrada da Serra, 2300 TOMAR, Portugal
Tel. (+351) 249-346363 * fax. (+351) 249 346366 * email: uispp.xvcongress@ipt.pt

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