Payment form for qmbt13

 

Please, fill this form and send it by fax to +54 11 4576 3357

 

 

Credit card:     Visa AmEx

Date (dd/mm/yyyy):
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By signing this form I authorize QMBT13 Organizing Committee, through Fundación Ciencias Exactas y Naturales, to debit directly (in one payment) the cost of the registration to the 13th International Conference on Recent Progress in Many-Body Theories, to be held in Buenos Aires, from December 5 to 9, 2005.

This amount will be converted to pesos (Argentine currency) according to the date's value.

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