ISORC'99
The second IEEE international 
symposium on object-oriented
real-time distributed computing

Saint-Malo, May 3-5, 1999




REGISTRATION FORM

[] Mr   [] Mrs  [] Miss

LAST NAME: ___________________________First Name:______________________________

Organization: _________________________________________________________________

Address: ______________________________________________________________________

_______________________________________________________________________________

Town: _________________________________________________________________________

Zip Code: ______________________Country: ______________________________________

Tel: ___________________________Fax: __________________________________________

E-mail: _______________________________________________________________________

will participate to the Second IEEE International Symposium on Object-oriented
Real-Time Distributed Computing

Payment

All prices are in French Francs (FRF), 20,6% VAT included

Early registration fee (deadline 10 April 1999):               
     IEEE members(*):           []  (2300 FRF)
     non-members:               []  (2600 FRF)

Late registration fee (11 April 1999 and after):               
     IEEE members(*):           []  (2700 FRF)
     non-members:               []  (3000 FRF)

     (*)IEEE membership number: __________

These fees include the symposium proceedings, access to the meeting
rooms, 3 lunches and banquet and coffee breaks. Payments (in French
Francs) will be made:

[] by cheque to "Agent comptable de l'INRIA", sent by post

[] by bank transfer to:    
   Trésorerie Générale des Yvelines, Versailles:
   (bank code 10071; branch code 78000; account number 00003003958; key 80)

[] by credit card: 
   For this means of payment, the original signature is mandatory

   Cardholder name and first name: _____________________________________________

   Card number: |_|_|_|_| |_|_|_|_| |_|_|_|_| |_|_|_|_| Expiry date: |_|_| |_|_|
   
   I hereby authorize INRIA to charge my credit card: 
   [] Visa     [] Mastercard     [] Eurocard

                                                    Cardholder signature
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Please write your name clearly and make reference to ISORC'99 on your payment.
Registrations without payment information will not be considered.

Dietary Restrictions _______

Cancellation

Fees will be returned in full for any written cancellation before May 1st., 1999. No refund will be made in respect of cancellation received after this date.

Date: _____________________

Signature: _________________