First Myrinet User Group Conference

September 28-29 2000, "Cite Internationale de Lyon", Lyon, France

Laboratoire RESAM - Action INRIA RESO

http://resam.univ-lyon1.fr/MUG/

Registration Form

Registration fee:

Advance Registration (By 17^th July 2000) in FF		Late/On-Site Registration in FF
TFCC/IEEE Members	FF 1800	TFCC/IEEE Members	FF 2200
Non-Members	FF 2300	Non-Members	FF 2850
Full-time Students	FF 1500	Full-time Students	FF 1500

The registration fees are quoted in French Francs (FF.)

The registration fees includes a copy of the proceedings edited by INRIA, all refreshments, lunches and the conference banquet.

If IEEE member, please indicate membership no : ......................

Other costs Items :

Each additional proceeding : 300 FF

Each additional banquet ticket : 600 FF (in case you want to bring non-participant/friend).

Special requirements :

Vegetarian meals : Y / N

Participant Details :

Name :	________________________________________________________
University/Company :	________________________________________________________
Address :	________________________________________________________
	________________________________________________________
	________________________________________________________
City, Zip Code :	________________________________________________________
Country :	________________________________________________________
Phone :	________________________________________________________
Fax :	________________________________________________________
Email :	________________________________________________________

Payment Information:

1. By credit card (Prefered Method) : Payment by Credit Card in French Francs

I wish to pay FF ____________ by Master Card/ Visa

Card Number: ____________________________

Valid until (mm/yyyy) : ______ / _____

Name of cardholder : _________________________________

Signature of cardholder : ____________________________ Date : __________

2. By bankdraft : Payments may be made by cheque or bankdraft payable to " Agent Compatble de l'INRIA" and must be in French Francs.

I enclose cheque no : ___________________ for FF _______________ payable to " Agent Comptable de l'INRIA".

3. By bankdraft :

I enclose bankdraft no : ___________________ for FF _______________ payable to " Agent Comptable de l'INRIA".

Transfer FF : _____________________________________________
From bank :_____________________________________________
Account :_____________________________________________

to account no : 0000 3003958 80
Code Bank : 10071 78000
Tresorerie generale des Yvelines - 16, avenue de Saint Cloud - 78018 Versailles Cedex - France

Please, indicate participants name(s) and company name(s) and MUG on cheque or bank draft.

Mail or Fax to:

	Daniele Herzog
	Relations Exterieures
	INRIA Rhone-Alpes
	655, avenue de l'Europe
	38330 Montbonnot
	FRANCE
	Phone : + 33 (0) 4 76 61 52 23
	Fax :+ 33 (0) 4 76 61 54 55 (credit card payments can be faxed)
	Email : Daniele.Herzog@inrialpes.fr