From: [required-Email]
To: lt24@phys.ufl.edu
Subject: Request for "Invitation Letter" to Attend LT24

Title:			[Title]
First (Given) Name:	[required-First-Name]
Middle Name:		[Middle-Name]
Last (Family) Name:	[required-Last-Name]
Date of Birth:		[required-DOB]
Nationality:		[required-Nationality]
Passport Number:	[required-Passport-Number]
Name of Institution:	[required-Institution-Name]
Mailing Address:	[required-Address-1]
Mailing Address:	[required-Address-2]
Mailing Address:	[Address-3]
Mailing Address:	[Address-4]
Email:			[required-Email]
Webpage:		[required-Webpage]
LT24 ID:		[required-LT24-ID]
Title of Abstract:	[required-Title]
----------------
Additional information about how transportation and 
local expenses will be funded (and other relevant comments):		
[required-Additional-Information]
----------------
The mailing label for the envelope:

[Title] [required-First-Name] [Middle-Name] [required-Last-Name]
[required-Institution-Name]
[required-Address-1]
[required-Address-2]
[Address-3]
[Address-4]