Registration Form

Please return this form (email, fax or normal mail) if you intend to attend the conference. Please note that we can take in charge your hotel registration.

NAME .................................FIRST NAME .........................
AFFILIATION ..............................................................
..........................................................................
ADDRESS ..................................................................
..........................................................................
ZIP CODE/CITY...........................COUNTRY...........................
STATUS (Student, Academic, Industrial, Accompanying person):
TEL.................FAX..................EMAIL............................

I need a REDUCED FLIGHT TICKET within FRANCE  AOM |_|  AIR INTER |_|
DATES AND TIME OF Arrival:................. Departure:....................
I will ATTEND the CONFERENCE BANQUET (included): yes / no
I will ATTEND the EXCURSION (included) : yes / no
I would like to VISIT INRIA on JULY 11 MORNING : yes / no

ACCOMODATION :
-------------
Please indicate for which type of room you would like to be registered :
	*** Hotel Mediathel (Sophia Antipolis)  
		single 295 FF |_|   	double 295 FF |_|
	** Hotel Climat de France (Sophia Antipolis)
		single 240 FF |_|	double 250 FF |_|
Average rates per room and per night, without breakfast.

PAYMENT :
---------
	My registration is made on personal basis
	Would you find a check enclosed               |_|
	This registration is made on professional basis
	Please find enclosed a purchase order from
	the Accounting Department		      |_|
IMPORTANT: Payments are accepted in FRENCH FRANC only.
The fee must be paid either
o By bank transfer to the order of 
	Tresorie Generale des Yvelines - Versailles 
	compte:	10071/78000/00003003958/80
	(with the indication of your name and STRATAGEM'96).
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o By bank or postal cheque to the order of 
	Agent comptable de l'INRIA
	compte: CCP 30041/00001/0909945 B 020 31
	(with the indication of your name and STRATAGEM'96).
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