ESEC/FSE 97 Registration form
                   -----------------------------

Mail or fax to:
MCI Travel, ESEC/FSE 97, Weinbergstrasse 11, CH-8001 Zurich, 
Switzerland, Fax: +41  1  251 31 49

Participant
( ) Mr.  ( ) Ms.  ( ) Dr.  ( ) Prof.     Sex: ( ) M  ( ) F

Last Name:  .........................................................

First Name: .........................................................

Affiliation: ........................................................

.....................................................................


Street: .............................................................

.....................................................................


Zip: ................... City: ......................................

Country: ............................................................

Phone: ..............................................................

Fax: ................................................................

Email: ..............................................................
        
( ) I am a member of

    Society: ..........................  Member No.:    .............

( ) I am a student (include confirmation of full-time student status)

( ) I am an author of a paper / tutorial speaker / PC member


Registration
( ) Conference                                     CHF  .............

Tutorials
( ) F1    ( ) F2
( ) H1    ( ) H2    ( ) H3    ( ) H4
( ) H5    ( ) H6    ( ) H7    ( ) H8
( ) H9    ( ) H10   ( ) H11   ( ) H12              CHF  .............
    
Workshops   
( ) W1    ( ) W2    ( ) W3                         CHF  .............

....    Additional reception tickets               CHF  .............

....    Additional Swiss evening / dinner tickets  CHF  .............

....    Additional public transport tickets        CHF  .............






Hotel reservation (prices in Swiss Francs (CHF))

Category    Single room     Double room
A           ( ) 185Ð190     ( ) 245Ð280
B           ( ) 130Ð165     ( ) 170Ð220
C           ( ) 110Ð130     ( ) 140-170

( ) Student accommodation (upon request)

Date of arrival: ...................    

Date of departure: ............   Number of nights: ................
Accommodation deposit: CHF 150 per room             CHF.............

Special requests    ................................................


Excursions

Please indicate number of tickets, date and total amount.
....    'Lake Zurich'       Sept. 23, 1997          CHF ............

....    'Zurich city tour'  ...............         CHF ............

....    'Lucerne'           ...............         CHF ............
    
....    'Swiss Alps'        ...............         CHF ............

....    'Top of Europe'     ...............         CHF ............


Total payment
                                                    CHF ____________
I agree to the terms and conditions mentioned overleaf.


Form of payment

( ) Bank remittance in Swiss Francs only. Please mention 
    participant's name. 
    Union Bank of Switzerland, Zurich Central Branch
    MCI Travel- Zurich / ESEC/FSE 97
    Account No. 644108.03 Z

( ) Eurochecks attached (up to CHF 300 per check)

( ) Credit card:    ( ) Eurocard/Mastercard     ( ) VISA    
                    ( ) American Express    

    Card number:    __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 

    Expiration date:   __ __ - __ __        

    Cardholder's name: .............................................


Date, Signature: ....................................