CONFERENCE PROGRAMME 1998 ICMTS REGISTRATION FORM

Name to be printed on badge: ________________________________________________
                                Last Name      First Name     Middle Initial

Company/Organization:_________________________________________________________

Mailing Address*:_____________________________________________________________

       _______________________________________________________________________
       Mail Stop:                            City/State/Zip/Country:

Phone No:  _____________________________ Fax No.: ____________________________

Email:     ___________________________________________________________________

Member (IEEE / IEICE / JSAP) Number __________________________________________


Registration Fees: (Late fee applies if postmarked after February 1, 1998)
-----------------

                         Member**               Non Member   
                     Early        Late      Early        Late
Tutorial            18,000       25,000     21,000       28,000     ______
Technical           35,000       38,000     43,000       46,000     ______

Tutorial(Full Time Students***)   8,000                  10,000     ______
Technical(Full Time Students***) 25,000                  26,000     ______

Extra Banquet Ticket             12,000                  12,000     ______
Extra Proceedings                 5,000                  7,000      ______

If using a credit card for payment add 5%                           ______

TOTAL AMOUNT:                                                       _____ Yen

On-site Registration Fees - see page 2 of conference programme booklet

  * As you want it to appear on the Conference List of Attendees

 ** Must be a member of IEEE or IEICE or JSAP.

*** To qualify for reduced conference rates, you must be a Student Member, a
    full-time student, not be self-employed, nor working part or full time
    at a facility or corporation.

Payment:  Bank Transfer /Bank Check /Credit Card /Cash at the Conference

For Credit Card: Charge Fees (conference costs plus 5%) to my credit card:

          Master Card /VISA /Diner's Club /AMEX

     Card Number:______________________________________

     Expiration Date:__________________________________

     Name as it appears on card:_______________________

     Cardholder Signature:_____________________________

SEND FORM AND REMITTANCE TO:

     ICMTS 1998 Secretariat
     c/o Center for Academic Societies Japan, Osaka
     1-4-2 Shinsenrihigashi-machi Toyonaka Osaka 565, Japan
     Phone: +81-6-873-2301 Fax: +81-6-873-2300
     E-mail: o-conf@bcasj.or.jp