EMMCVPR'97 REGISTRATION FORM

Please fill in the registration form and send it either by ordinary mail
or fax to:

   Marcello Pelillo
   Dipartimento di Matematica Applicata e Informatica
   Universita' "Ca' Foscari" di Venezia
   Via Torino 155
   30173 Venezia Mestre, Italy

   Fax: +39 41 2908419




Last name __________________________  First name __________________________

Affiliation _______________________________________________________________

Address ___________________________________________________________________

___________________________________________________________________________

Zip code ____________________   City ______________________________________

Country ___________________________________________________________________

Tel ________________________________   Fax ________________________________

E-mail ____________________________________________________________________



Accompanying person(s)

Last name __________________________  First name __________________________




REGISTRATION FEES
quoted in Italian lire (LIT).

Early registration (before March 31, 1997) (*)            LIT 500,000   (_)
Late registration (after March 31, 1997) (*)              LIT 600,000   (_)
Student (**)                                              LIT 300,000   (_)
Accompanying person (***)                                 LIT 150,000   (_)

Total payment                                             ___________


(*) Full registration fees include participation in the scientific
sessions, the proceedings book, the coffee breaks and the social program.

(**) Students must certify their status. Student's fee includes
participation in the scientific sessions, the proceedings book and the
coffee breaks.

(***) The fee for the accompanying person covers the social program.




PAYMENT

All payments must be in Italian lire.

1)  Please charge my credit card in favor of "SAF srl"

    VISA ____    MASTERCARD ____
	
    Name of cardholder ____________________________________________________
    
    No ___________________________________  Expiration date _______________
    
    Amount ____________________  Signature ________________________________

    Date ________________
    


2)  Please make a SWIFT bank transfer to "SAF srl" account:

    BANCA COMMERCIALE ITALIANA
    Agenzia n. 2, Taranto, Italy
    SWIFT CODE: BCI TIT MM770
    ABI: 02002
    CAB: 15804
    Account number: 4743037-01-46

    ALL COSTS TO TRANSMITTER'S CHARGE
	
    Please do not forget to indicate your name and the purpose of payment,
    and attach a copy of the transfer to the registration form.

3)  Please note that for on-site registrations, only cash will be accepted.