---------------------------------------------------------------- 
  | 15th IEEE Symposium on Logic in Computer Science and Workshops |
  |	      June 25 - June 30, 2000, Santa Barbara               |
  |                                                                |
  |                        Registration Form                       |
  |           University Accommodations and Dining Services        |
   ----------------------------------------------------------------

Note: To guarantee accomodations and confirmation, please complete all
      sections of this Registration Form.
      Reservations must be received by May 15, 2000 to avoid the Late
      Registration Fee.

NAME: ___________________________________________ Male ( )  Female ( )

How would you like your name to appear on the name tag:

      ________________________________________________________________

Institute/Organization: ______________________________________________

Mailing Adress: ______________________________________________________

______________________________________________________________________
City                     State     Zip Code               Country

Telephone: _______________________  Fax: _____________________________

Email: _______________________________________________________________
      (Please type or print clearly as confirmations are normally sent
       out electronically.)

Please indicate any special needs here: ______________________________

______________________________________________________________________


 --------------------------------------------------------------------
| I. Registration Fees                                               |
 --------------------------------------------------------------------

LICS 2000             Early Registration       Late Registration
                     Postmarked by May 15     Postmarked after May 15

  Member                    $280		        $370
  Non-Member		    $370		        $470
  Full-Time Student	    $100		        $150

  (Member rate applies to members of IEEE Computer Society, ACM,
   ASL, or EATCS, as well as to members of the Program and
   Organizing Committees.)

  LICS Registration Fees (please check as appropriate)      
  
  ( ) Member of ____________________________		         $______
  
  ( ) Non-Member					         $______

  ( ) Full-Time Student				                 $______	

								
WORKSHOPS

  The workshop registration fee is $50 per day.         

  ( ) Pre-LICS Workhops (6/25) - $50                             $______

  ( ) Post-LICS Workshops (6/28 afternoon - 6/29 morning) - $50  $______

  ( ) Post-LICS Workshops (6/29 - 6/30) - $100                   $______ 
      

SUB-TOTAL REGISTRATION                                               $______


 --------------------------------------------------------------------
| II. Accomodation and Dining Packages                               |
 --------------------------------------------------------------------
(includes all catered events & campus parking)

Residence Halls

                   Early Arrival  Main Program       Late Departure
                      (6/24)       (6/25-6/29)     (6/30)       (7/1)

Adult Single Room     $69.00         $441.00       $71.00      $71.00 

Adult Double Room     $55.00         $384.00       $57.00      $57.00
(per person rates
 are listed)

                    Rate per Person  x  Number of Persons

  Adult Single         $_______      x      _________     =  $_____

  Adult Double         $_______      x      _________     =  $_____

Please assign roommate for me ( )

My roommate will be: _______________________________________


SUB-TOTAL ACCOMMODATION                                              $______

Please check here if you intend to stay for the SAS meeting ( )

 --------------------------------------------------------------------
| III. BOARD ONLY & PARKING  (Off-Campus Attendees)                  |
 --------------------------------------------------------------------

                                    Board              Parking

Sunday Lunch & Reception            $57.00             $3.00 (Mon)

Main Program                       $210.00             $9.00 (Mon,Tue,Wed) 

Post-Workshop (6/28-6/29) Lunch      $7.50             $6.00 (Wed,Thur)

Post-Workshop (6/29-6/30) Lunch      $7.50             $6.00 (Thur,Fri)

SUB-TOTAL OFF-CAMPUS BOARD PACKAGE & PARKING                       $______


 -------------------------------------------------------------------------
|                                                                         |
|               TOTAL AMOUNT ENCLOSED (I + II + III)            $_________|
|       Personal check or bank check must be in U.S. Dollar               |
|                       drawn on a U.S. Bank				  |
|									  |
 -------------------------------------------------------------------------

Payment Method:

  ( ) Personal/Bank Check (Check must be drawn on a U.S. Bank and made
      payable to U.C. Regents)

  ( ) Please charge to my credit card:

      ( ) Master Card         ( ) VISA        ( ) American Express

      Credit Card #: _________________________________

      Expiration Date: _______________________________

      Signature: ______________________  Date: _______________________


This form can be mailed back or sent by fax to:

                 LICS c/o Campus Conference Services 
		 University of California 
		 Santa Barbara, CA 93106 - 6120 
		 U.S.A.

		 Fax: + 1 805 893 7287