Fourth International Conference on
                     Logic Programming and
                    Non-Monotonic Reasoning
                           (LPNMR '97)

                     Schloss Dagstuhl, Germany
                           July 28-31


                       Registration form


To be sent to the organizing committee at this 
REGISTRATION ADDRESS (by conventional mail, fax or e-mail):

  Ulrich Furbach, 
  Institute for Computer Science,
  University of Koblenz,
  Rheinau 1, 56075 Koblenz, Germany.
  Fax: +49 - 261 / 9119-496
  E-mail: lpnmr97@informatik.uni-koblenz.de


We have limited support for colleagues from eastern
Europe and students. Please contact Jürgen Dix 
<dix@informatik.uni-koblenz.de> for details.

Personal Information:
---------------------

Family name: .................... First name: .............. Title: ....

Affiliation: ...........................................................

             ...........................................................

Address:     ...........................................................

             ...........................................................

             ...........................................................

E-mail:      ...........................................................

Tel.:        .......................... Fax.: ..........................

Name of Accompanying person(s): ........................................


Registration
------------

Registration fees are to be paid in advance. The registration deadline
is July 5, 1997.

 Fees (DM)          Regular     Student
----------------------------------------
 Before May, 16th       280         100
  After May, 16th       350         170

Please tick one: 

   [ ]  I register as a REGULAR participant. 

        The registration fee includes the fees for the excursion and
        banquet for one person. Extra bookings can be done at the
        rate of DM 80 and are to be paid in advance together with
        the registration fee:

        I register for .... EXTRA extra person(s) for the excursion
        and banquet. 

   [ ]  I register as a STUDENT participant. 

        Student participants have to send a student certificate to 
        the organizing committee in advance.  

	The registration fee does NOT include the fees for the
	excursion and banquet. Excursion and banquet can be booked
	at the rate of DM 80 and to be paid in advance together with
	the registration fee:

        I register for .... person(s) for the excursion and banquet. 


Room Reservation
----------------

Accommodation fees are to be paid during the conference
(by cash/cheque/Eurocard/Mastercard/VISA).

Please reserve for me:

[ ] A single room  (DM 135 per day, including meals).

[ ] A double room  (DM 85 per person per day, including meals) 
    to be shared with
                      ...............................


Special dietary requirements: [ ] None
                              [ ] Vegetarian


My arrival date will be:   ........................................
(Arrival on Sunday afternoon 
 is strongly recommended)

My departure date will be: ........................................

Payment Method
--------------

Please tick one:

[ ] Payment by bank transfer in German currency (DM).

    In particular, GERMAN participants  are requested to pay 
    by this option. 

    Transfer registration fees to the following bank account:

    Bank:           Sparkasse Koblenz
    Bank Code:      57050120
    (Bankleitzahl)   

    Account Holder: Ulrich Furbach für LPNMR97
    Account:        150410272

    IMPORTANT NOTE: all extra fees emerging from money order  payment 
                    must be covered by the applicant!


[ ] Payment by cheque in German currency (DM) drawn on a German bank;
    please make cheques payable to "Ulrich Furbach fuer LPNMR97",
    indicate your name and send it to the registration address.

    IMPORTANT NOTE: all extra fees emerging from cheque payment must be 
                    covered by the applicant!


[ ] Payment by credit card.

    IMPORTANT NOTE:  For credit card payment you are asked  
                     to complete the FAX FORM below and send
    		     it by conventional mail or fax to the       
    		     REGISTRATION ADDRESS given above.      

Signature:
----------


     ..................             ..............................
           Date                               Signature

----------------------------------------------------------------------------

				FAX FORM

[ In case of credit card payment, 
  please send the filled out form by fax to the indicated number, 
  or by conventional mail to the REGISTRATION ADDRESS]

From:
[Please insert your name and affiliation here]





To:

LPNMR 97 Organizing Committee
c/o Ulrich Furbach
Institute for Computer Science
University of Koblenz
Rheinau 1
56075 Koblenz
Germany
FAX number: +49 - 261 / 9119 496


I hereby authorize the organizing committee of the
LPNMR 97 to charge my creditcard (sorry, no American Express):

    Amount (in Deutsche Mark): ......................

    Credit card company: [ ] VISA
                         [ ] Eurocard/Mastercard

    Name on the card:    ............................

    Credit card number:  ............................

    Expiry date:         ............................


Date: ................  Signature: ..................