Third International Workshop on
    Object-oriented Real-time Dependable Systems (WORDS ’97)
                    Newport Beach, California
                       February 6-7, 1997
             Sponsored by the IEEE Computer Society
          Technical Committee on Distributed Processing
     in cooperation with IFIP WG 10.4 on Dependable Computing
                                
                   WORKSHOP REGISTRATION FORM
(for Paper Presenters and Co-authors, Panelists, Session Chairs,
                      or Committee Members)
                     (Please type or print)
    Name                    _______________________________________
    Position (or job title) _______________________________________
    Affiliation             _______________________________________
    Address                 _______________________________________
                            _______________________________________
                            _______________________________________
    Country                 _______________________________________
    Phone #                 _______________________________________
    FAX #                   _______________________________________
    E-mail                  _______________________________________
Which role will you play in the Workshop?
  A presenter of a paper ( ), or A co-author of a paper but not a
  presenter ( ),
  or A panelist ( ), or A session chair ( ), or A committee member ( )
PAYMENT:
  Registration fee: For IEEE members $340.00 (US)
                            Membership No.: ___________________
                    For non-IEEE members $390.00 (US)
  (includes proceedings (both preliminary and official versions),
  coffee breaks, 1 luncheon, and 1 lunch cruise.)
METHOD OF PAYMENT:
Please attach the exact payment in one of the following forms:
1. A check or money order drawn on a U.S. bank, payable to the
  order of "WORDS 97"
2. A proof of direct (wire) transfer to Great Western Bank with
the following:
  - Account Name        WORDS 97
  - ABA No. (Bank No.)  322270039
  - Account No.         244-800495-8
3. Credit card payment (The fee will be in U.S. dollars)
   MasterCard ( )    VISA ( )
   Card Number _________________________ Exp. Date __________________
   Card Holder's Name __________________ Signature __________________
Please send this form and full fee payment by mail or FAX,
optionally together with the hotel reservation form and the hotel
reservation deposit, in the same package to be received by
December 18, 1997 at the following address:
          Chittur Subbaraman, Registration Chair
          Dept. of Electrical and Computer Engineering
          University of California, Irvine, CA 92697,  U.S.A.
          Ph: (714) 824-4148, FAX: (714) 824-2321
          e-mail: csubbara@ece.uci.edu
The presenter’s registration fee as well as panelist’s is not
refundable.  Other registration fees can be refunded after the
processing fee of $75 per each registration being cancelled is
deducted only if written requests for cancellation of
registrations are received before January 10, 1997.

Workshop Location: Balboa Bay Club
          Phone: (714) 645-5000
          1221 W. Coast Highway,
          Newport Beach, California, 92663, USA
Note:  Failure to register for WORDS ‘97 in time may result in
invalidation of your currently assigned role and its removal from
the final program of the workshop (because the seats in the
workshop are limited).