------ Print and mail with attendee's registration -----

           CRYPTO '96 Guest Registration Form

          Registration deadline: July 12, 1996

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

Last Name:  _____________________________________________

First Name: _____________________________ Sex: M or F ___

Affiliation: ____________________________________________

Mailing Address: ________________________________________

_________________________________________________________

_________________________________________________________

Phone: ______________________ Fax: ______________________

Electronic Mail: ________________________________________



Social Program Attendance ($60)              $ __________

Includes Sunday and Monday evening receptions, refreshments at 
Tuesday evening Rump Session,
and Wednesday evening Beach BBQ.

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:                             $ _________

Show here and on accompanying attendees's Registration Form