APPLICATION FORM

      The Globular Clusters - Dwarf Galaxies Connection

                   August 27 - 29, 2007


 NAME:

 INSTITUTION:

 ADDRESS:

 TELEPHONE:

 FAX:

 EMAIL:

 If you would like to present a talk, please provide a title and a
 brief abstract.

 There is no registration fee.  Limited travel and local support is
 available.  If you need support, please provide a sample itinerary,
 estimated lodging costs, and other available sources of funding, by
 July 11, 2007.

 Please email completed application form by July 27, 2007 to:

 Oleg Gnedin
 University of Michigan
 ognedin@umich.edu