TRAVEL INFORMATION QUESTIONAIRE

Please fill out and submit this form after your travel arrangements to Chile have been finalized. It enables our staff to make appropriate lodging, taxi etc, arrangements in Santiago and La Serena in support of your visit to CTIO.

IMPORTANT! It is imperative that we receive the Travel Information Questionaire at lease 4 weeks prior to the start of your run

Graduate students receiving travel support for thesis research MUST contact this office BEFORE purchasing their tickets.

If you are bringing your own equipment you will need to follow export and import procedures; in this case please contact Cliff Aldrich a month before your travel dates.

Please check the updated Travel Information web page at   http://www.ctio.noao.edu/diroff/obser_trav.htm

If you cannot submit this form via the WWW, please mail it to:

The form can also be FAXed to (011)-56-51-205212

General Information

Observer (s) :
Institution :
Email :
Proposal Number :
Telescope :

Nationality :
Passport Number : Issue Date :
Emergency Contact Name :
Emergency Phone Number :

Santiago Arrival

Date : Flight Number :

La Serena Arrival

Date : Flight Number :
Need Taxi to CTIO La Serena Offices ? - Date :

Need CTIO La Serena Arrival Lodging ? - Date In : Out :

Telescope Observing Run

Telescope Site? Cerro Tololo Cerro Pachon

Carryall up to Telescope Site?   - Date: 

Need Special Transportation & Dates? No Yes
Any Special Dietary Restictions?
Any Significant Medical Conditions?

Carryall back to La Serena? Date :
Need La Serena Lodging After Run? Date In : Out :

La Serena Departure

Date : Flight Number :
Need Taxi to La Serena Airport? Date :

Santiago Departure

Date : Flight Number :

Mode of Payment

Charge to a Credit Card? No Yes
Bill to Institutional Account? No Yes
Use Other Payment Option? No Yes

Comments:

Please use the space below for any additional information we need to be aware of regarding your visit. If you are requesting to go to Tololo a day early to aclimatize or to look over the shoulder of the previous observer, please ask here.

Please type in what you see here
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NOTE: When you submit this form via the WWW, you should receive an immediate reply acknowledging its arrival, showing the information which was sent and who it was sent to. If you want a record of this information, please print it out immediately. This is the only acknowlegment of receipt you will receive.

If for some reason you don't receive this response or are unable to send the form via email, please print the form out and FAX it to (011) 56-51-205212 and/or (520) 318-8270.

xherreros@noao.edu