Student Travel Support Application Form
Magnetics Society Member Letter of Endorsement
(application and all letters of endorsement must be submitted beforeFebruary 07,  2011)

Endorser's Information
* First Name

* Last Name

IEEE Membership Number

I am a member of the IEEE Magnetics Society

Address

* Phone

Fax

* E-mail Address


Student Information
* First Name

* Last Name

* University

* E-mail Address


Letter of Endorsement
(15 lines maximum)