CoopIS'98 Registration Form
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     Third IFCIS Conference on Cooperative Information Systems (CoopIS'98) 
	                  August 20-22, 1998
                         Mariott Marquis Hotel
                            1535 Broadway 
                        New York, New York 10036

Please complete this form (TYPE or PRINT), and return it with your
payment to the address below.  Please submit a separate form for each
participant.  If you are also attending VLDB'98, please return this
registration form together with your VLDB registration to take
advantage of the co-registration discount.

First Name: _____________________ Last Name: _____________________________

Title (Dr/Mr/Ms/Mrs/Prof): ______ Position: ______________________________

Company/University: ______________________________________________________

Department: ______________________________________________________________

Address: _________________________________________________________________

City: ___________________________ State: _________________________________

Zip/Postal Code: ________________ Country: _______________________________

Phone: __________________________ Fax: ___________________________________

E-mail: __________________________________________________________________

Your paper number, if applicable: ________________________________________

Your paper title, if applicable: _________________________________________

          ________________________________________________________________

Your paper's first author, if applicable: ________________________________

Please indicate a dietary restriction: Vegetarian: ____

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The conference registration fee includes the Conference Proceedings,
access to all Technical Sessions, Panel Sessions, a Reception, and a
planned Outing.  [For the outing, we are planning on dinner plus
a Broadway show. (Subject to change.)]

                          Before July 16, 1998  Late (on or after July 16)
                                                      or On-Site

Registration Fee:               US $395                 US $450 
Fee for VLDB'98 Co-registrant:     $375                    $450 

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Total Amount Enclosed:

Registration fee:                                 $ ________

Additional Reception Tickets:   (@ $30 each)      $ ________ 
   (Thursday, August 20, 1998)

Additional Outing Tickets:      (@ $68 each)      $ ________ 
   (Friday, August 21, 1998)

Additional pages for paper: (up to 2 @ $100 each) $ ________ 

Total:                                            $ ________

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Payment can be made by check, money order, or credit card (VISA or
MasterCard).  Checks and money orders should be made payable to
"NJIT COOPIS 98" in US dollars drawn on a United States bank.

If paying by credit card, please complete and sign the following: 

I authorize CoopIS'98 to charge US$ ______

to my Credit Card number: _________________________________________

   VISA [ ] MasterCard [ ]

Expiration date: (MM/YY): __________________ 

Cardholder's name exactly as it appears on the card: _____________________

Signature: _______________________

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Mailing Information:

Please send this registration form (along with your payment) via
mail, fax, or e-mail (pick only one) to:

   Priscilla Rasmussen-ARCS
   75 Paterson Street, Suite 9
   New Brunswick, NJ 08901 USA

   Phone:  (732) 342-9100
   Fax:    (732) 342-9339
   E-mail: rasmusse@cs.rutgers.edu