IAU Symposium No. 212

A MASSIVE STAR ODYSSEY,
FROM MAIN SEQUENCE TO SUPERNOVA

Costa Teguise, Lanzarote, Canary Islands, 24-28 June 2002


HOTEL BOOKING FORM

DEADLINE:  15 March 2002
 
 
Surname (last name): 
First name: 
Gender:   Female       Male
Institution: 
E-mail address: 
Arrival date and time: 
Departure date and time: 
No. accompanying persons: 
My accomodation choice is:  Single room       Double room
Please specify whether you wish to share with another participant or accompanying person (name):
Please indicate any special requirements: vegetarian, handicapped, small children (indicate ages), etc.

 

The following credit card information can be sent to the LOC IAU212 via fax to the number: +34 922 605210 (this information will be strictly confidential):
 
Credit card type (VISA / MasterCard)
Credit card number
Expiry Date
 
 
  
 


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Please complete and return this form to the LOC (Fax: +34 922 605210);  iau212@ll.iac.es

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Last modified: December 4, 2001