GRANTS PROGRAMME – DONATIONS FORM

For some Congress delegates from countries with developing economies, the idea of attending the WFOT Congress 2014 may seem an impossible dream. We have received many requests for funding from OT’s (and students) in these countries, some of whom are also speakers at the Congress and are struggling to obtain funding to attend. We invite you to make a contribution to the WFOT Congress 2014 Grants Programme.

This form allows you to make a donation for the WFOT Congress 2014 Grants Programme. By completing this form, you have read, understood and agree to both the cancellation policies and the privacy statement as stated on the form and on the website.

Contact Details

Asterisk (*): required field.

Title
*Surname
*Given Name(s)
Organisation
Position
*Address
*Suburb/Town
*State/Province
*Country
Zip/Postcode
*Email address
*Telephone
(include International code)
Fax

Donation Details and Amount

I would like to contribute to the Delegate Grants Programme (please indicate the preferred amount below).

*Donation to Grants Programme US$

Questionnaire: How did you find out about the Congress?

WFOT – website, Bulletin, newsletter
National Association – website, publication, email
Work place/University – website, publication, noticeboard
Referred by a colleague
Internet search
Other (please state)
Don’t remember

Method of Payment:

  • All amounts on this page are in US dollars.
  • Preferred methods of payment are PayPal or Credit Card.
  • For further information on payment, please contact us, [wfot2014@c-linkage.co.jp]
  • Privacy Statement

    WFOT Congress 2014 is committed to supporting delegate privacy. The WFOT Congress 2014 will not otherwise, without your consent, use or disclose your personal information as provided on this Grants Donation form for any purpose unless it would reasonably be expected that such purpose is related to the offer, provision and improvement of the Congress or where such purpose is permitted or required by law.

    Cancellation Statement

    No requests for refunds will be accepted.

    For further information:

    WFOT Congress 2014 Secretariat Office
    c/o Convention Linkage, Inc.
    Email: wfot2014@c-linkage.co.jp
    Website: http://www.wfot.org/wfot2014
    Ph: +81-3-3263-8695
    Fax: +81-3-3263-8693