CRYPTO '95 Registration Form

                   Registration deadline: July 14, 1995

Last Name: ___________________________________________

First Name:___________________________________________ Sex: (M)___ (F)___

Affiliation:_____________________________________________________________

Mailing Address: ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________
                                                                                                 
Phone:___________________________________  Fax: _________________________

Electronic Mail:_________________________________________________________

Do you wish to have your name and address excluded from the list of
delegates? YES___ NO___

Payment of the conference fee entitles you to membership in the
International Association for Cryptologic Research for 1995 at no
extra charge, including a subscription to the Journal of Cryptology,
published by Springer-Verlag, at no extra charge.  
In light of this, do you wish to be an IACR member?  YES___ NO___

Conference Registration Fee (select one): (registration not guaranteed 
after July 14)      Regular Registration Fee
                        Before July 14, 1995 ($350)
                        After July 14, 1995 ($400)
                    Attended Eurocrypt '95, France
                        Before July 14, 1995 ($300)
                        After July 14, 1995 ($350)
                    Full-Time Student ($150)
Conference Registration Fee:                       US $_________

Room and Board (4 nights):  Non-Smoking____  Smoking____

(Prices include breakfast and lunch on Monday through Thursday)

    Single room ($280 per person)
 or Double room ($220 per person)   (select one) US $_______

       Roommate's name:________________________________

If you wish a Saturday Night stay 
   ($70 per person single/$55 per person double)    US $_______

Total Guest Fees (from guest form below)            US $_______

TOTAL FUNDS ENCLOSED (U.S. Dollars)                 US $_______

Payment must be in U.S. funds, by cheque drawn on a U.S. Bank, by
U.S. money order or by U.S. bank draft, PAYABLE TO: CRYPTO'95.

Payment should be mailed to the General Chair:        
      Stafford Tavares, Crypto '95    
      c/o Department of Electrical and 
       Computer Engineering
      Queen's University, Kingston, Ontario
      K7L 3N6    CANADA

For additional, contact:
  E-mail: tavares@ee.queensu.ca
  Phone: 613-545-2945 or 613-545-6564
  Fax: 613-545-6615

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                          CRYPTO '95 Guest Form

                  Registration deadline: July 14, 1995


This form is to be completed for anyone who is accompanying a
conference attendee but not registering for the conference and wishes
to either stay on campus or attend the social functions on Sunday,
Monday, Tuesday and Wednesday.  Guests are not entitled to attend the
talks and must be attending with a registered delegate.

Last Name: ___________________________________________

First Name:___________________________________________ Sex: (M)___ (F)___

Sponsoring Delegate/Registrant:__________________________________________

Mailing Address: ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________

                 ________________________________________________________
                                                                                                 
Phone:___________________________________  Fax: _________________________

Electronic Mail:_________________________________________________________

Social Program Attendance ($60)                        US $______
      (Sunday, Monday and Wednesday Night Dinners and 
       Tuesday Night Rump Session  - No admittance to talks)


Room and Board (4 nights):  Non-Smoking____  Smoking____

(Prices include breakfast and lunch on Monday through Thursday)

select one:

    Single room ($280 per person)
 or Double room ($220 per person)              US $_______

    Roommate's name for double room:_______________________

If you wish a Saturday Night stay 
   ($70 per person single/$55 per person double)    US $_______

TOTAL GUEST FEES (Show here and on the accompanying delegate form)

                                                    US $_______