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IFIP/IEEE* International Conference on
Management of Multimedia Networks and Services’97
(MMNS’97)
RADISSON HÔTEL DES GOUVERNEURS
Montreal, July 8-9-10, 1997

Formulaire
en francais

Registration Form

Participant :

First name : ____________________________________ Last name : _________________________________________

Affiliation : _______________________________________________________________________________________

Address : ________________________________________________________________________________________

City : _____________________________________ Country : ______________________________________________

Postal code : _______________________________ E-mail : ________________________________________________

Telephone : ________________________________ Fax : __________________________________________________

Special needs : ____________________________________________________________________________________

Registration Fee
Please encercle your choice

Fee
(taxes included)

EXTRA
banquet

EXTRA
Proceeding

TOTAL
(CAN $)

Until May 23, IEEE member (Authors: until June 12)

CAN $685

60$

90$

 
Until May 23, non-member (Authors: until June 12)

CAN $740

60$

90$

 
After May 23, member IEEE (Authors: after June 12)

CAN $740

60$

90$

 
After May 23, non-member (Authors: after June 12)

CAN $795

60$

90$

 
Student, Until May 23 (Authors: until June 12)

CAN $285

60$

90$

 
Student, After May 23 (Authors: after June 12)

CAN $340

60$

90$

 

* CRIM membership credit is not applicable for this conference
* No tax credits are applicable for this conference
* No reimbursement will be allowed
All prices are in Canadian dollars, cheque, money order, VISA or Master Card payable to CRIM, indicating that it is for:
« MMNS ‘97  Conference»
* Registration includes lunches, coffee break and the workshop banquet
* GST (R100884675) / PST (1006405599-TQ0001)

Payment : Cheque ___ Money Order ___ VISA ___ Master Card ___

Please make cheque and money order payable to CRIM

If you are using a VISA/Master Card, please fill the following section :

VISA/Master Card number : _________________________________________

Expiration date : ____/____ (MM/AA)

Authorized Signature : ______________________________________________

Date : ________________________

Registration is guaranteed only upon payment.

Accomodations:
(you must reserved directly with the hotel)

Deadline:
June 13, 1997

Radisson Hotel des Gouverneurs , 777 University Street, Montreal (Quebec) CANADA
Reservation: (514) 879-1370
or 1-800-333-3333
Fee: 125$/night
(single/double occupancy, taxes not included)
Internet:
http://www.radisson-mtl.com

Please complete and return to :

Julie Théroux
CRIM
1801, McGill College Avenue, Suite 800
Montreal, Quebec H3A 2N4
Canada
Telephone : (514) 840-1234 local 4627
Fax  : (514) 840-1244

E-mail  : Julie.Theroux@crim.ca

Internet  : ./mmns97.html