Please save this document to a file, fill in the information and send it to
one of the addresses listed below.

IMACS Conference on APPLICATIONS OF COMPUTER ALGEBRA

REGISTRATION FORM

PAYMENT MUST ACCOMPANY FORM AND MUST BE POSTMARKED BY MONDAY,
MAY 1 FOR EARLY REGISTRATION FEE TO APPLY

CANCELLATIONS must be received in writing by MAY 1 for REFUND
(less $20 handling fee)


____________________________________, ___________________________________
                  (Last Name)                  (First Name)

_________________________________________________________________________
Institution Full Unabbreviated Name

_________________________________________________________________________
Mailing Address

_________________________________________________________________________
City, State/Province, Zip/Postal Code

_________________________________________________________________________
Country

_________________________________________________________________________
Telephone                     Telefax                       E-Mail


CONFERENCE REGISTRATION (Check One):

       ____ $225 TO BE PAID by IMACS - ACA

       ____ $225 EARLY IMACS MEMBER (postmarked on or before May 1, 1995)

       ____ $250 EARLY NON-IMACS MEMBER (postmarked on or before May 1, 1995)

       ____ $275 LATE IMACS MEMBER (postmarked after May 1, 1995)

       ____ $300 LATE NON-IMACS MEMBER (postmarked after May 1, 1995)


The dormitory rooms have all been reserved. However, if you are interested
in a room if one becomes available or if a room has been reserved for you by
ACA-IMACS, please fill out the following part of the form.

DORMITORY ROOMS are available, on a priority basis, for those who 
need financial assistance to attend the meeting.  Please include an
explanation of why you need the dormitory room.  10 rooms with 2 single
beds each are available.

Explanation:_________________________________________

DATE of first night _____________  DATE of last night ______________

_____ Rooms for _____ nights @ $15.00 (single) $11.50 (double)
                               per person/per night
PAYMENT ENCLOSED:

       Registration Fee             $__________  Method of Payment__________
       Dormitory Reservations       $__________  Method of Payment__________

                                        TOTAL PAYMENT ENCLOSED $_________
Acceptable methods of payment:
       Institutional check
       Personal check
       Purchase order
       Money order
       Wire Transfer [Call (505) 243-1344 for wire transfer information]
       Credit Card (American Express, Mastercard, Visa, Diners Club)

Make checks payable to ACA-IMACS
Return completed registration form with payment to:

          IMACS Conference                         FAX (credit cards only)
          Sandbar Productions           OR             (505) 268-5952
          P.O. Box 3824                            E-Mail (credit cards only)
          Albuquerque, NM 87190 USA                    sandbar@math.unm.edu

For Credit Card Payment:

Card Type _______________________ # ________________________ Exp. Date ________

Card Holder Name (print) ________________________ Signature ___________________


TO MAKE HOTEL RESERVATIONS CALL THE HOTEL DIRECTLY (SAME NUMBER
FOR BOTH HOTELS) and refer to IMACS CONFERENCE:

       To receive the special conference rates, reservations must be made by
       April 22, 1995

       (505) 884-2500 OR (800) 274-6835 - 8:00 a.m. - 5:00 p.m. Mountain Time
       FAX: (505) 889-9118
               Albuquerque Hilton Hotel: Single/Double - $77.00 (plus tax)
                  1901 University Blvd, NE
               Fairfield Inn by Mariott: Single/Double - $65.00 (plus tax)
                  1760 Menual Rd, NE
               Additional Person - $10.00
       Note: A free shuttle is available between the airport and both of these
             hotels.  In theory, the shuttle comes by the airport hourly, but
             one can simply request it by using one of the courtesy phones in
             the baggage claim area (these are well marked with the name of the
             hotel listed).

Many other hotels and motels are located in the Albuquerque area as well
(and a number near the university) including such national chains as Holiday
Inn, Motel 6, etc. in addition to the local places.