1-5 September, 1997
Le Musée du Louvre
Paris, France

Print out and return this form to USA or France, Depending on Currency of Payment.
See Addresses below.

About You
Name:
Title:
Institution:
Address:
City:		State/Prov.:
Postal Code:		Country:
Phone:		Fax:
Email:		URL:

Conference Fees	FF	$US
Early (before 30 June)	2400FF	$435
Regular (before 15 August)	2700FF	$490
Late (after 15 August)	3000FF	$545
One Day Circle: Wed. Thurs. Fri	1800FF	$330
Student (with valid ID)	1500FF	$270
Conference Fees Total	FF	$US

Workshop Fees	FF	$US
Advance Registration Only (before 25 August)
Full day Monday, Circle: 1	1800FF	$330
Half day Monday Morning, Circle: 2, 3	900FF	$165
Half day Monday Afternoon, Circle: 4, 5	900FF	$165
Full day Tuesdday, Circle: 6	1800FF	$330
Half day Tuesday Morning, Circle: 7, 8	900FF	$165
Half day Tuesday Afternoon, Circle: 9, 10	900FF	$165
Workshops Total	FF	$US
CONFERENCE AND WORKSHOP TOTAL DUE	FF	$US

Method of Payment	FF	$US
By Cheque or by Purchase Order Order No: ________	Payable to "Sarl AMIE"	Payable to "Archives & Museum Informatics" and drawn on a US Bank.
Return to	ICHIM97 Auditorium du Louvre 75058 PARIS, Cédex 1, FRANCE Fax: +33 038 473 8125.	A&MI 5501 Walnut St., Ste. 203 Pittsburgh, PA 15232 USA Fax: +1 412 683 7366.
Payment on Purchase Orders must be received prior to August 31, 1997 or Late Registration Fee will be Charged at the Door.
By Credit Card	Billed in FF converted to your local currency	Billed in FF converted to your local currency
Return to	ICHIM97 Auditorium du Louvre 75058 PARIS, Cédex 1 FRANCE Fax: +33 (0)1 40 20 58 12	A&MI, 5501 Walnut St., Ste. 203 Pittsburgh, PA 15232 USA Fax: +1 412 683 7366.
VISA MasterCard American Express	Card ______ - ______ - ______ - ______ Exp. ______ / ______
	Print Name
	Signature

This page is located below www.archimuse.com/ichim97.
To request further information or send comments, contact info 'at' archimuse.com
Last Updated: June 18, 1997.