EXPRESS 97, 8--12 September 1997, Santa Margherita Ligure, Italy
            Registration Form - return by MAIL to:

     Catuscia Palamidessi (EXPRESS 97)
     DISI, v. Dodecaneso 35
     16146 Genova, Italy

Please send also a copy of this form by e-mail to expr97@disi.unige.it.

Confirmation to your registration will be sent by email.


PERSONAL INFORMATION

Title:
Surname:
First name:
Affiliation:

Phone:
Fax:

E-mail:
URL (personal home page): 

Address:
City:
Zip code:
Country:


REGISTRATION INFORMATION

Please select the appropriate entry (if you register as STUDENT,
enclose evidence of your status):

         | early | late |
 --------|-------|------|
 regular |       |      |
 --------|-------|------|
 student |       |      |
 ------------------------

Special requirements:


EXCURSION AND SOCIAL DINNER

Please fill in the following fields for each person who intend to 
participate to the excursion and/or to the dinner.  The payment (about 60 
USD per person) can be done directly at the conference.

Kind of participant: (Conference participant/Accompaning person) _________

Excursion: (yes/no) _______
Dinner: (yes/no) ________

Special dietary requirements: _________


REGISTRATION FEE PAYMENT

The registration fee must be paid in ITALIAN LIRE.  Payment should be
made without charges to the organizers.  Please enclose one of these:

__ EuroCheque
__ Certified Bank Cheque
__ Cheque on an Italian Bank Account
__ Copy of a Bank Transfer


DATE: ____________  SIGNATURE: _______________________________________