REGISTRATION FORM
=================


FIRST NAME:_____________        LAST NAME:___________

PREFERRED MAILING ADDRESS:

        __________________________________
        __________________________________
        __________________________________


EMAIL: __________    PHONE (optional): ____________

SPECIAL REQUESTS/NOTES: ___________________________
        ___________________________________________


        LICS registration fee:                          __________

                Please check as appropriate

                * full conference
                * 2 days; dates: ______;_______
                * 1 day; date:   ______

                * non-member
                * member of ______________
                * student, institution: _____________


Workshop registration fees

        Registration is to SPECIFIC workshops
        (pre- and/or post conference).
        Registrants may attend talks at PARALLEL 
        workshops.
        
        Pre-LICS workshops                              __________

                CHECK ONE:

                * Probabilistic methods in verification
                * Real Number Computation

        Post-LICS workshops                             __________

                CHECK ONE:

                * Game semantics for linear logic
                * Logic & Diagrammatical Information.
                * Model checking & security protocols
        
        Extra banquet tickets ($35 each)                __________

        Registration total                              __________
        
        If paying with a credit card, processing fee 
                ($4 + 2% of registration total)         __________


        TOTAL:                                          __________



METHOD OF PAYMENT (please check all that applies)

        * Check or money order enclosed 
                (payable to "Indiana University, LICS98")

        * Credit card information enclosed

                * Visa (& Blue Card) OR * MasterCard
                        (no other card accepted)

                * Number: ___________________

                * Card's billing address (if different
                from address above):

                ______________________________________
                ______________________________________

                * Expiration date:___________

                * Signature (if mailing or faxing):

                        ______________________________



        PRINT the {registration FORM} and mail or fax it to
                LICS98
                Computer Science Department
                Indiana University
                Bloomington, IN 47405, USA
                Fax: 812-855.4829