Please save this document to a file, fill in the information and send it to
        aca98@siduri.fjfi.cvut.cz
even if you are sending your registration by fax or as hard copy (this
is necessary for hotel Krystal reservation). Fax or hard copy
registration should be send to Cotopaxi in the USA who will handle the
conference finances.


4-th IMACS Conference on APPLICATIONS OF COMPUTER ALGEBRA (ACA'98)
                 Prague, Czech Republic, August 9-11, 1998 

                              REGISTRATION FORM

PAYMENT MUST ACCOMPANY FORM AND MUST BE POSTMARKED BY June 30, 1998
FOR EARLY REGISTRATION FEE TO APPLY AND FOR HOTEL KRYSTAL RESERVATION

CANCELLATIONS must be received in writing by JUNE 30 for REFUND
(less $20 handling fee)


____________________________________, ___________________________________
Last Name                             First Name

_________________________________________________________________________
Institution Full Unabbreviated Name

_________________________________________________________________________
Mailing Address

_________________________________________________________________________
City, State/Province, Zip/Postal Code

_________________________________________________________________________
Country

_________________________________________________________________________
Telephone                     Telefax                       E-Mail


CONFERENCE REGISTRATION:
       (Check one)
                                  early      standard     on-site
       ____ IMACS member           $110       $130         $150   
       ____ IMACS non-member       $130       $150         $170
       ____ student                 $80       $100         $120
       ____ to be paid by IMACS-ACA (I have obtained approval of support)
       (Check one)
       ____ early registration - postmarked on or before June 30, 1998
       ____ standard registration - postmarked on or before July 31, 1998
       ____ on-site registration - to be paid in Prague
       Student registration fee does not include conference party.

ROOMS RESERVATION IN HOTEL KRYSTAL:
       We do not arrange any further hotel reservations (since July 16).
       We do not arrange reservation in other hotels.

Method of Payment __________
       Registration fee                      $___
       Party for student or spouse $20       $___
       TOTAL                                 $___

Acceptable methods of payment:
       Credit Card (Mastercard *or* VISA only)
       Money order (this is not bank wire transfer)
       Institutional check
       Personal check 
Make checks payable to ACA'98.  All payments must be in US dollars
(strongly preferred) or include US $15.00 extra to cover currency
exchange.  

Czech participants, to avoid exchange losses, may pay directly in Kc
in present official CNB exchange rate ______ Kc/US$ (date
_____________) by wire transfer (ask at aca98@siduri.fjfi.cvut.cz for
details).


Return completed registration form with payment to:

       ACA'98 Conference                FAX: +1 (505) 277-5505
       Cotopaxi                         (credit cards only)
       1801 Quincy, SE            OR
       Albuquerque, New Mexico          Email: aca98@siduri.fjfi.cvut.cz
       USA   87108-4427                 (credit cards only)

(Please SEND A NOTE by email to aca98@siduri.fjfi.cvut.cz no matter
how you send the payment as a confirmation!!!  All registrations will
be acknowledged by email.)

For Credit Card Payment:
 
Card Type ____________________ # ________________________ Exp. Date ________
 
Card Holder Name (print) _____________________ Signature ___________________
 
Credit Card Mailing Address ________________________________________________
 
(Email registration is preferred and does not require a signature)