                      
                    REGISTERING FORM FOR 3DF-15
             -----------------------------------------


                      

NOM/NAME :        __________________________________________
              

PRENOM/SURNAME :  __________________________________________



ADRESSE/ADDRESS : __________________________________________

          
                  __________________________________________

          
                  __________________________________________



TYPE DE MACHINE/YOUR COMPUTER : __________________________________


             [ ] Version francaise       [ ] English version



PRIX/PRICE: 65 FF / $14(US) / 8(UK) / 20 DM


Paiement par Chque bancaire ou postal (France uniquement)  l'ordre de :

        Blanchard Lionel  OR  Meyer Stphane.

FOREIGN CURRENCIES ACCEPTED.


Formulaire  renvoyer  :   Club Electronique
Send it to:                 ECOLE CENTRALE DE LYON
                            36 Avenue Guy de Collongue
                            69131 ECULLY Cedex
                            FRANCE




