CONCUR 98 Registration Form

           (Please return to Dany Sergeant, 
                either by email to: Dany.Sergeant@sophia.inria.fr
                      or by fax to:  (+33) 4 92 38 79 55        ) 
                  -------------------------------------



Given name: ___________________
Middle initials: ______________
Family name: __________________
[ ] male  [ ] female

Affiliation: ________________
Address: ____________________
         ____________________
         ____________________
Postal code (and state): ____
Country: ____________________

e-mail: _____________________
fax: ________________________
telephone: __________________

Special dietary requirements: __________________

Special requirements: __________________________

Expected date of arrival: ______________________
Expected date of departure: ____________________


Payment (all payments in French Francs):
-----------------------------------------

[ ]Regular conference registration
      * before August 6:  2,100  FFs
      * after  August 6:  2,500  FFs

[ ]Student conference registration
      * before August 6:  1,500  FFs
      * after  August 6:  1,800  FFs

The regular fees include: LNCS proceedings, 4 lunches and coffee breaks;
excursion on Thursday afternoon; conference dinner on Thursday evening. 
The student fees do not include proceedings, conference dinner 
and excursion on Thursday.


[ ] Satellite Workshop registrations

    * COTIC'98:    yes / no   (no fees)
 
    * EXPRESS'98:  yes / no   (no fees)

    * HLCL'98:     yes / no   (no fees)
 
    * PAPM'98:     yes / no   (price: 80 FFs to be paid on location, 
                                             the day of the workshop)

Regardless of the fees, participation to any of these workshops
includes coffee breaks and workshop materials (such as proceedings,
where appropriate).


[ ]Additional tickets for excursion  and banquet, on Thursday 10 September.
      No of persons: ____ price per person: 380 FFs  =  total:  _______


                                                                            
                                                     TOTAL (FFs) _______
This total amount is due on registration.

Payments should be made in french currency to "Agent Comptable de l'INRIA",
either:

    * by Post Office check, to the account 
      (CCP Paris 30041-00001-0909945B 2031)
      [where CCP Paris is the bank number and 
       30041  the bank code]

    * by Bank Tranfer order to 
      "Tresorerie Generale des Yvelines-Versailles",
             16 avenue de Saint Cloud
             78018 VERSAILLES CEDEX
             France
      to the account (10071-78000-00003003958 80)

Please state your name and the name of the conference with the payment.

CANCELLATIONS: Fees will be returned in full for any cancellation received 
prior to August, 25th. No refund will be made after this date.


For further information on registration, feel free to contact:
                
        Dany SERGEANT 
        2004 Route des Lucioles, BP 93
        06902 SOPHIA ANTIPOLIS CEDEX
        FRANCE                            
        
        E-mail: Dany.Sergeant@sophia.inria.fr
        Tel: (+33) 4 92 38 77 05
        Fax: (+33) 4 92 38 79 55