1997 Heavy Flavor Symposium University of California - Santa Barbara
   ____________________________________________________________________

   The registration fee is $350 if postmarked or called in before 
   June 1, 1997, $400 afterwards.  You can pay by credit card or check.
   Credit card payments are accepted over the phone by calling Sally
   Vito at (805) 893-3072.  Alternatively you can print out this form 
   and fax it or mail it to us.  The fax number is (805) 893-7287.
   The mailing address is:

	   1997 Heavy Flavor Symposium
	   Campus Conference Services
	   University of California
	   Santa Barbara CA 93106-6120
	   USA


   First Name  ______________________________________________

   Last  Name  ______________________________________________

   Institution ______________________________________________

   Address __________________________________________________

   Phone  ______________   Fax _________    email ____________


   Registration fee ($350 before Jun 1, 1997, $400 afterwards)    $______

   Parking permit (optional, $10)                                 $______

   Additional dinner/reception tickets:  number _____ x $35 =     $______

   Additional beach barbeque ticket:     number _____ x $28 =     $______

   ____________________________________________________________

   Total:                                                         $______

   Payment method (check one) :

   ____ Personal check drawn on a US bank in US dollars, made payable to 
        "UC Regents"


   ____ VISA        Number ____________________  Exp. Date _____________


   ____ MasterCard  Number ____________________  Exp. Date _____________



   Signature (for credit card payments) __________________________________