========= REGISTRATION FORM =====================

ICNP'98 Registration
October 13-16, 1998
Austin, Texas, USA

	Given that the advance registration deadline has passed, we
	can no longer accept online or postal registrations.  

	However, for a limited time we can still accept your late registration 
        via FAX.

	Fax:  +1 202 728 0884
	Attn: ICNP'98 Registration
	IEEE Computer Society 

	Phone number (in case fax problems occur) +1 202 371 1013
	
	SORRY:  No phone registrations



PLEASE PRINT

Name: _____________________,______________________________________
       Last/Family              First               MI

Badge Name (if different from above): 
	
Organization:   

Organization Type:

   ___University/College   ___Computer Industry   ___Gov't Laboratory
   ___Gov't Agency         ___Military            ___Non-Profit Corp.
   ___Indep. Consulting    ___Private Res. Cntr.  ___Other 


Address/Mailstop: 



City/State/Zip/Country:   


Telephone: __________________  Fax: ____________________

   E-Mail: __________________


*IEEE Member #:

or *ACM SIGCOMM Member #: 


Full-time student certification: ________________________________ 
(Must show student ID card)

Do you have any special needs?  
 

Please do not include my name and address on:

___Attendee List  ___Non-Society Mailing List 



CONFERENCE REGISTRATION, 14-16 October
        (includes admission to all conference sessions, one copy of the 
         conference proceedings, continental breakfasts, refreshment breaks,
         three lunches, and one reception.)

  
 	___Member* $420   ___Nonmember $530  ___Full-time Student $210
                				   

TUTORIAL REGISTRATION,	13 October
        (includes breaks, lunch, and one copy of tutorial notes.)

Please select one of the two full-day tutorials and check appropriate fee:
 
___ 1.	Traffic Control and QoS Management in the Internet 
		Hui Zhang, Carnegie Mellon University, USA 

___ 2. 	Distribution of Stored Information in the Internet
		Keith W. Ross, Eurecom Institute, France 

	___Member* $330   ___Nonmember $410  ___Full-time Student $180



TOTAL (dollar amount) ENCLOSED:______ 

 Payment must be enclosed. Registration received without payment will not
 be accepted.  Please make all checks payable to: IEEE COMPUTER SOCIETY.
 All checks must be in U.S. dollars drawn on U.S. banks. Credit card charge 
 will appear on your statement as "IEEE Computer Society."

Method of payment:
	
_____	Check	          _____	Traveler's / Cashiers Check

_____	American Express  _____	MasterCard	

_____	VISA	       	  _____	Diners Club


Credit Card Number: ______________________ 	Exp. Date: __________ 


Cardholder Name:__________________________ 
(Exactly as it is printed on the card)


Signature: _____________________________