Registration For ICNP '97    October 28-31, 1997    Swissotel, Atlanta, GA


ICNP '97 registrants please mail or fax a copy of this form to:

IEEE Computer Society
ICNP '97 Registration
1730 Massachusetts Ave., NW
Washington, D.C. 20036
Fax: +1.202.728.0884

No registrations will be accepted at IEEE Computer Society Headquarters
after 5:00 p.m. October 7, 1997. All registrations received after that
date will be processed on-site.

Title: Dr.  Prof. Ms. Mr.

Name:_______________________________________

Affiliation:________________________________

Mailing Address:_____________________________________________
                 street address

                ________________  _______   _______    ____________
                    city          state     country    postal code

Daytime telephone:_____________________  Fax:______________________________
___

E-mail Address:_________________________

IEEE Membership Number (required for member rates):________________________
_

Full-time student certification:___________________________________________
_
(advisor signature required)

[] Do not include my name on a published list of attendees.
[] Do not include my name on a non-society mailing list.
___________________________________________________________________________
__

			  Registration Fees

                                  Member      Nonmember      Student
Conference -- Before Oct. 7.      $300          $375          $175
              After Oct. 7.       $360          $450          $200

Tutorials  -- Before Oct. 7.      $260          $325          $260
              After Oct. 7.      $315          $395          $315


Tutorial Registration Fee   $_______________

Conference Registration Fee $_______________

Total Amount                $_______________

                          Method of Payment

Credit Card: VISA     MasterCard      American Express       Diners Club

Personal Check      Company Check     U.S. Gov't Purchase Order
#:___________


Credit Card Number:_________________________________  Exp. Date:___________

Name as it appears on the card:_____________________

Signature:_____________________________     Today's
Date:___________________


Registration forms without payment will not be processed.
Please make checks payable to: IEEE Computer Society.
All checks must be in U.S. dollars drawn on U.S. banks.
Credit card charges will appear on statement as
"IEEE Computer Society -- Registration".  Any collection or
other fees charged by banks or credit card providers will be passed
along to the registrant.

Questions?  Call the IEEE Computer Society, Volunteer Services Department,
+1.202.371.1013