Payment Form

First Name:     

*Members of the Societat Catalana de Matemàtiques can take  50% off the General registration fee (discount not available for the other types of registration).

Check the option that you prefer for making the payment and fill in the information requested.

Credit Card:

Card holder's name

VISA MasterCard

Card number


 Expiration date       Amount   
        





 Signature (required)

Bank transfer to*:

"Congressos i Cursos CRM"
 Bank's name: Caixa Catalunya
 Bank's address: Pl. Cívica, Campus UAB
                         08193 Bellaterra
                         Spain
 
 IBAN: ES37 2013 0692 8502 0206 2742
 
 Swift code: CESCESBBXXX

* IMPORTANT: Please make sure that the administrative costs originated by the bank transfer are charged to the sender's account. CRM is to receive the full registration fee, free or charges.

    Nominative Cheque to:   "Congressos i Cursos CRM"

  Cheque no.                         Issuing Bank            Amount                        
       

 

Deadline for General Registration and Payment: April 14, 2007

Deadline for Room booking fee Payment (for those receiving a lodging grant): Will be announced individually.

Please, fill in, print, sign and fax this document to the number: +34-93 581 22 02, together with the receipt or proof of payment (in case of bank transfer).