IAU Symposium No.215 - PAYMENT AND ACCOMMODATION FORM 
(before JUNE 1st)

      Please send by e-mail to: iau215@astro.ugto.mx 
      immediately after payment has been made. 

Form of payment:    cheque / swift / other: 

Currency:           US dollars / euros 
 (euros accepted only for payment by cheque)

Date of payment: 

                      * * * * * 

I shall be accompanied by: 

Number of extra beds requested (for children under 12): 

I wish to share my room:      yes / no

The person I wish to share my room with is: 

                      * * * * * 

      If already known, please also provide 
      the following information: 

Arrival date: 

Airline (for last flight segment): 

Flight number: 

Arrival time: 

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