You may send this authorization using e-mail, fax or via air mail.
Secretariat, Nuclear Physics
P.O.Box 3190, 61031 Tel Aviv, Israel
FAX: +972-3-5239299
e-mail: meetings@unitours.co.il
| Please charge the amount of US$ .......... to my credit card: |
| ...... American Express ...... Visa ...... Master Card ...... Diners Club |
| Credit card # .................................... Expiry date................ |
| Card holder's name ............................................................ |
| Date ........................ Signature ........................................... |