ISDL'95  (August 22 - 25, 1995)
               Symposium Registration Form
Write a check mark in each box, if you do not wish to include your data
in the participant list.

Name  _______________    _____________    _____________
          Last             First            Middle

[  ] Affiliation

[  ] Address

   street ____________________________________________________________

   city   ________________________  state/pref. _________________

   ZIP    ________________________   country __________________

[  ] phone:  +            -

[  ] FAX:    +            -
              country code
[  ] email:

special requirement (if any):





BANQUET:
I will join the banquet.  [   ] YES    [   ] NO
   If YES, please send your registration form to TTS.

Send this form to:
     email: ISDL95@DL.ulis.ac.jp
     fax:   +81-298-52-4326  or +81-298-52-0384
     postal address: ISDL'95
                     Univ. of Library and Information Science
                     1-2, Kasuga, Tsukuba, Ibaraki 305, Japan