International Conference on Scientific Computing and Partial Differential Equations

Accommodation Reservation Form

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Name of Participant
Title: Professor Dr Mr Mrs Ms
Surname: Given name:
Name of Accompanying Person (if any)
Title: Professor Dr Mr Mrs Ms
Surname: Given name:
Address:
Country: Postal Code:
Contact Information
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Please reserve me room(s) at
 Ng Tor Tai International Guest House at US$45 / HK$350 per room per night
 Royal Plaza Hotel at US$77 / HK$600 per room per night
Special Request:
Arrival Date 2002 Time Flight
Departure Date Time Flight
Booking Guaranteed By: American Express Visa  Master Deposit by Bank Draft
 Card Holder's Name:  
   Card Number:  
   Expiry Date:   (dd)  (yy) (yy)