----------- Print and mail to address below ------------

             CRYPTO '96 Registration Form

          Registration deadline: July 12, 1996


Last Name:  _____________________________________________

First Name: _____________________________ Sex: M or F ___

Affiliation: ____________________________________________

Mailing Address: ________________________________________

_________________________________________________________

_________________________________________________________

Phone: ______________________ Fax: ______________________

Electronic Mail: ________________________________________

___ Check here if you wish to have your name and address excluded 
from the list of delegates.

Payment of the conference fee entitles you to membership in the 
International Association for Cryptologic Research for 1997 at no 
extra charge, including a subscription to the Journal of Cryptology, 
published by Springer-Verlag, at no extra charge.  Do you wish to be 
an IACR member?  ? 

___ YES    ___ NO 

Conference Registration Fee (check first line that applies):
                           Paid by    After
                           July 12   July 12 

___ Full-Time Student       $160      $210

___ Attended Eurocrypt '96  $310      $360

___ Regular Registration    $370      $420

                                           US $ _________

Room Sunday to Thursday (non-smoking) with breakfast and 
lunch Monday through Thursday

___ Single room $280

___ Double room $220
    Roommate's name: _______________________
                                              $ _________

Extra nights at $70 single, $55 double, per person, per night

___ Saturday night  $ _____

___ Thursday night  $ _____                   $ _________


Total Guest Fees
(from Guest Registration Form):               $ _________

Tickets for the Sunday boat trip to the 
Channel Islands: ___ @ $55.00 each            $ _________


TOTAL ENCLOSED OR PAID BY CREDIT CARD:        $ _________

Enclosed payments must be in U.S. funds, by check drawn on a U.S. 
bank, by U.S. money order, or by U.S. bank draft, PAYABLE TO: 
CRYPTO '96.

Or, credit card payments must be by postal mail or fax to the number below.
Check one:   ___ VISA       ___ Mastercard        ___ American Express

Name on card: ___________________________________________

Card number:  ___________________________ Expires: ______

Cardholder's signature: _________________________________

Forms and enclosed payments must be sent to:

Richard Graveman, Crypto '96	
Bellcore, Room 1K-221	
444 Hoes Lane	
Piscataway, NJ 08854 USA	

For more information:
Email: crypto96@iacr.org
WWW: http://www.iacr.org
Phone: +1 908 699 4611
Fax: +1 908 336 2943