APPLICATION FORM

                 Extreme Star Formation in Dwarf Galaxies 

                           Ann Arbor, Michigan

                           July 27 - 29, 2009


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

 There is no registration fee.  Limited travel support is available.
 To request it, please provide a sample itinerary and estimated
 lodging costs, along with the application form, by June 1, 2009.

 Otherwise, please email a completed application form by June 26, 2009 to:

            ognedin@umich.edu  -and-  nwahla@umich.edu