PfHSN'96


   IFIP Fifth International Workshop on Protocols for High-Speed networks

                            October 28-30, 1996

                       INRIA SOPHIA ANTIPOLIS, France


REGISTRATION FORM


Family name __________________________   Firstname ______________________

Affiliation : ___________________________________________________________

Postal Address __________________________________________________________
		


City ____________________ Country ___________________ Zipcode ___________

Business Telephone ____________________________________________

Business Fax __________________________________________________

Email _________________________________________________________


REGISTRATION FEE :

Workshop registration	1500 FF			/__/

Extra banquet Ticket	 500 FF			/__/		 


TOTAL AMOUNT: _____________FF


PAYMENT :

All payments should be made in french Currency payable to : 


                     "Monsieur l'Agent Comptable de l'INRIA"

/__/	Bank check			


/__/	Post-office Check			 

	CCP Paris - 30041-00001-0909945B020-31

/__/	Bank transfer : Tresorerie des Yvelines, Versailles (France)
	Account number 10071-78000-00003003958-80

/__/	Cash in French currency at the registration desk 		



Registration will be accepted only if accompanied by payment (in case of 
bank transfer, enclose a copy of the purchase order from your accounting 
department)


Date ___________________	Signature  ___________________