World Congress of Gerontology Student Travel Fund
The International Association of Gerontology has established the World Congress of Gerontology Student Travel Fund to assist students from around the world to participate and attend the World Congress of Gerontology. If you would like to contribute to this fund, please print this page and complete the form below.
I would like to contribute $_________ to the World Congress of Gerontology Student Travel Fund.
Your name: _________________________________________________________
City: Province/State: ___________________________________________________
Postal Code: ________________________________________________________
Phone Number: ______________________________________________________
Fax Number: ________________________________________________________
Method of Payment: [_] Cheque [_] Money Order
Card Number: _______________________________________________________
Expiry Date: _________________________________________________________
Mail or fax this form to:
Cheques should be made payable to the International Association of Gerontology with a note indicating the money is to be used for the World Congress of Gerontology Student Travel Fund.