International COPUS Colleagues

In order to be listed as an international colleague enaged in public understanding of science activities, please complete the following:

Please fill out the entire form. If a field is not applicable, please enter "not applicable." If you have any questions or need assistance with this form, please contact .

* indicates required information
* Society/ Organization/ Agency/ Association Name
* Website URL (http://www.example.com)
* Organization contact name
* Organization contact email
Organization contact phone
Please provide the email addresses of additional individuals at your organization that would like receive email updates. (Separate email address with a comma)
* Address1
Address2
City
State/Province
Postal code
* Country
Organization phone
Organization fax
* Please provide a description of your organization. This description will be publicly displayed if your registration is approved. (1000 characters or less, including spaces)
Please upload your organization's logo as a GIF or JPG file whose width and height do not exceed 200 pixels. The logo will be publicly displayed if your registration is approved.
* Please explain briefly how your organization engages in public understanding of science activities (1000 characters or less, including spaces).
Please describe your activities related to the Year of Science 2009 (1000 characters or less, including spaces).