DEXA'96 REGISTRATION FORM

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DEXA'96  REGISTRATION FORM
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Please complete this form (TYPE or PRINT), and return with your payment.


Last Name:_______________________________________________________________________

First Name:______________________________________________________________________

Title: (Dr./Mr./Mrs./Ms./Prof.):_______________________


Company:
_________________________________________________________________________________
Address:
_________________________________________________________________________________

City:________________________________________

State:_______________________________________

Zip/Postal Code:_________________

Country:_____________________________________

Telephone:___________________________________

Fax:_________________________________________

E-mail:______________________________________



Payment in ATS (Austrian Schillings) (Please indicate method of payment):
__ Personal  Check
__ Bank transfer to: Raiffeisenbank Linz-Traun (bank no.34500), 
account no. 5.711.098
__ Charge my credit card (VISA, MC, AMEX)

ADVANCE (Received by July 31, 1996):
 -----------------------------------------  
Registration  __  Reduced (ATS 5000)  __Regular (ATS 5500)

LATE/ONSITE (Received after July
31,1996--------------------------------------------
Registration  __ Reduced (ATS 5500)  __ Regular (ATS 6000)   

One day ticket (without proceedings):  ATS 1300,-
Conference Banquet (Sept.11th, 1996):  ATS 400,- per person
Number of banquet tickets:_______  = ATS __________

Charge my Credit Card (VISA, MC, AMEX): ___________   
Credit Card Number: ________________________   Expiration Date: ___________

        Signature   __________________________________                      
  
              

Send registration form with fee (make checks payable to DEXA 96):
        DEXA 96
        Prof. Dr. Roland Wagner
        Research Institute for Applied Knowledge Processing
        University of Linz
        Altenbergerstrasse 69
        A-4040 Linz, Austria        


(Reduced fee for members of Universities, GI, OCG, SI)
For fulltime students under 25 years a 50%-reduction is available.

For Swiss participants it is possible to pay in SFr to:   
Finanzabteilung der Universitaet Zurich
Postcheckkonto 80-643-0
Ref.: B 2006.295.257
DEXA 96

Regular fee	SFr  625,-	SFr  680,-
Reduced fee	SFr  570,-	SFr  625,-

One day ticket (without proceedings)   SFR 150,-
Conference banquet  SFr 45,-

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Last changed: 14-Juni-96