JSSST 2nd International Symposium on
          Object Technologies for Advanced Software (ISOTAS '96)
                        >>> REGISTRATION FORM <<<

Please type or print carefully in block letters.

Last/Family Name: _________________________________________________________

First Name:       _________________________________________________________

Name (on Name Tag):  ______________________________________________________

Affiliation:      _________________________________________________________

Address:          _________________________________________________________

City/State:       _________________________________________________________

Country:          _______________________________ Zip Code: _______________

Daytime Phone:    _____________________  Facsimile: _______________________

E-Mail:           _________________________________________________________

Speaker?:          [ ] YES               [ ] NO

Conference Use:    [ ] Slide Projector   [ ] Overhead Projector
                   [ ] Video Projector  ([ ] Macintosh  [ ] PC/AT)

[ ] Check here if you do NOT want your name on the attendee list.

Conference/Tutorials Fees (must be paid in Japanese Yen):

(*) Reduced rates apply to JSSST/ACM/IEEE-CS/IEICE/IPSJ members,
    and authors of the accepted papers.

  Membership # : __________________________________________________________

[ ] Full Conference (tutorial attendance is free):

                         ON or BEFORE           AFTER
                         FEB. 10, 1996          FEB. 10, 1996
  Non-member:            [ ] 45,000 Yen         [ ] 50,000 Yen
  Member (*):            [ ] 35,000 Yen         [ ] 40,000 Yen
  Student Non-member:    [ ] 12,000 Yen         [ ] 15,000 Yen
  Student Member (*):    [ ]  8,000 Yen         [ ] 10,000 Yen

  Which tutorials will you attend? (choose one for each day):
  Mar. 11  [ ] T1 / [ ] T2 / [ ] none
  Mar. 12  [ ] T3 / [ ] T4 / [ ] T5 / [ ] T4&T5 / [ ] none

[ ] Tutorials Only:
  Selections:                          | Fees per tutorial unit:
  [ ] T1 (Mar. 11, All day,   2 units) | [ ] Non-member:        7,500 Yen
  [ ] T2 (Mar. 11, All day,   2 units) | [ ] Member (*):        5,000 Yen
  [ ] T3 (Mar. 12, All day,   2 units) | [ ] Student Non-member:  750 Yen
  [ ] T4 (Mar. 12, Morning,   1 unit)  | [ ] Student Member (*):  500 Yen
  [ ] T5 (Mar. 12, Afternoon, 1 unit)  |

  Tutorials Fee: ________ units x __________ Yen/unit = _____________ Yen

Methods of Payment:
                         >>> IMPORTANT NOTICE <<<
             PERSONAL CHECKS/MONEY ORDER ARE NOT ACCEPTABLE.

[ ] CREDIT CARD:    [ ] Visa  [ ] Master

    Name of the card holder: ____________________________________________

    Card Number: ________________________________________________________

    Expiration Date: ____/____  
   
    Date: ________________  Signature: __________________________________


[ ] BANK (TELEGRAPH) TRANSFER.  Remittance should be directed to:
    Bank name:   Sakura Bank Ltd., Kamiyacho Branch
    Address:     13-1, 5-chome, Toranomon, Minato-ku, Tokyo 105, Japan
    Acct. #:     282-6336212
    Acct. name:  JSSST-ISOTAS

    Please provide the remittance information if you send your
    registration fee via bank (telegraph) transfer:

    From (bank name):  __________________________________________________

    Date of remittance:  ________________  Amount (yen) : _______________

[ ] ON-SITE IN CASH (only for LATE registration fees)
    NOTE: Only Japanese currency (Yen) is acceptable.

Attendee Profile:

  1 Where will you stay during the conference? (This information is
    necessary for running shuttle buses from hotels to the conference
    area.)

    [ ] Kanazawa City Area (Nikko Hotel etc.)
    [ ] Tatsunokuchi Town Area (Matsuzaki Ryokan or Tagawa Ryuusenkaku)
    [ ] Others: _________________________________________________________

  2 What is your affiliation? (check one) 
    [ ] Academic  [ ] Commercial  [ ] R&D

  3 How did you hear about this conference?
    [ ] Newsgroups  [ ] WWW  [ ] From Your Colleague  [ ] Magazine Ad.

Please mail/fax this form to:

     Osamu Mitsui (ISOTAS Secretariat)
     c/o System Research Center Co., Ltd. (SRC)
     510 Asahi Toranomon Bldg.,
     18-6, 3-chome, Toranomon, Minato-ku, Tokyo 105, Japan
     Phone: +81-3-3434-1744,  Facsimile: +81-3-3434-2789