Cosmic Evolution and Galaxy Formation:

Surname
Name
Institution
Mailing Address
E-Mail
Telephone
Fax

Preferred type of contribution Oral Poster None

Title:

Author(s):

Affiliation(s):

Abstract: (in LaTex document-style or simple ASCII. You can also send the abstract by email to cosmo99@inaoep.mx)

The Hotel in which you wish us to arrange accomodation in Puebla Hotel Camino Real Hotel Posada San Pedro Hotel Royalty None
Click here to get the Hotel details

Type of room? Single Double Jr Suite [for those at Royalty]

Number of people accompanying you:

If you would like to share a room with another conference participant please provide his/her name:

Date of Arrival:	November , 1999
Date of Departure:	November , 1999

Are you a student?	NO YES
Gender	Female Male
Are you a smoker?	NO YES
Are you a vegetarian?	YES NO
Will you need some kind of child-care facilities?	NO YES
Are you likely to attend the reception on Sunday evening?	YES NO

If you have any special needs please explain it below:

Please send your credit card information (number and photocopy of the card itself) by FAX to Ms. Araceli Menchaca to +52-2-2474306 to back up your reservation.

Please submit the completed form before September 1, 1999.