Name:

Company/School Name:

Street Address:

City:

State:

Zip:

Phone:

Email:

I am interested in participating in the Galatea Odyssey: World Contact
project by: (please check all that apply)

I am a US school and I would like to join Galatea Odyssey: World Contact
I am an International school and I would like to join Galatea Odyssey: World Contact
I wish to sponsor Galatea Odyssey: World Contact
I wish to volunteer my time to Galatea Odyssey: World Contact
I wish to donate hardware/software/services to Galatea Odyssey: World Contact
I wish to sponsor a student ambassador

Comments/Questions: