DECUS ADELAIDE LUG STATE CONFERENCE
              Digital Equipment Corporation, 3rd - 4th May 1997

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    | A registration form should be completed for each person attending   |
    | the conference (duplication of this form is allowed).  Closing date |
    | for pre-registration is Monday 28th April 1997.  After this date    |
    | registrations will be accepted at the DECUS Registration Desk at    |
    | the venue.                                                          |
    +---------------------------------------------------------------------+

    Dr/Mr/Mrs/Miss/Ms: ____________________________________________________
    			(given)				(surname)

    Company: ______________________________________________________________

    Address: ______________________________________________________________

    City: ______________________________ State: ________  Postcode: _______

    Telephone: ______________________ Facsimile: __________________________

    Email: ________________________________________________________________
    ***********************************************************************
    REFUNDS: For registrations cancelled up to 28 April 1997, a full refund
    	     will be given.  NO refunds will be given after this date or
             for no-shows.

    CONFERENCE REGISTRATION

    	Corporate Member			$ 145		______

    	Individual Member			$ 160		______

    	Non-Member				$ 250		______

    Note: Only paid-up 1997 DECUS members are elligible
    	  for the "Individual Member" registration fee.

    OPTIONAL EXTRAS

    	1997 DECUS Individual Membership	$ 50          	______

    	Partner Dinner Ticket			$ 45 x _____ =	______

    	Partner BBQ Lunch Ticket		$ 25 x _____ =	______

    TOTAL						     $
    							     =========

    PAYMENT INFORMATION
    Registrations will not be accepted without payment.  Purchase orders
    will not be accepted.  Please indicate method of payment.  Cheques
    should be made payable to "DECUS Australia Inc.".

    	[ ] Company Cheque	[ ] Personal Cheque   [ ] Amex
    	[ ] Bankcard    [ ] Mastercard    [ ] Visa    [ ] Diners Club

    Card No: ___________________________________ Expiry Date: _____________

    Cardholder's Name: ____________________________________________________

    Signature: ________________________________________ Date: _____________

    Please return this form to DECUS Australia Inc., Locked Bag 16, Concord
    West 2138 or by fax to (02) 9561 5596.