LAM Family Network (LFN)

Travel Grant Application 2025

This is available to patients who need financial assistance to travel to the 2025 International LAM Research Conference & LAMposium. Patients will be responsible for paying the Conference registration fee of $75.

First Name

Last Name

Street Address

City

Mailing State/Province

Mailing Zip/Postal Code

Mailing Country (2-letter abbreviation)

Email Address

Phone Number (no dashes please)

Date of Birth (MM/DD/YY)

Please tell us a little about your financial situation. How many are in your household? Please provide any information that demonstrates your need.

Have you attended a LAMposium?

Estimated cost of transportation (flight or mileage) to conference Please enter numbers only:

Estimated cost of hotel (Hotel room is $234.50, per night). Please enter numbers only.

Total Expected Expenses (Form will calculate)

Please determine how much of the total expenses above you are able to pay yourself and enter below, please enter numbers only:

LFN Travel Grant Amount Requested (Form will calculate)

Any final comments:

Contact Information