SECOND MAGMA CONFERENCE ON COMPUTATIONAL ALGEBRA
                           MAY 12-16, 1996

                        PRE-REGISTRATION  FORM

We recommend that you send in this form by ordinary mail to
Marquette University at the address listed below.  If you wish,
you can submit the form electronically to Michael Slattery at

   mikes@sylow.mscs.mu.edu

or FAX the form to Michael Slattery at 1-414-288-5472

however, please note that the registration fee at the door will
be higher than the pre-registration rate.  We also encourage you
to plan on attending the conference social event and dinner on
Wednesday evening.

We ask that all pre-registration forms be submitted by May 1, 1996.


Family name (Mr, Ms, Dr, Prof):_______________________________________

Given names:__________________________________________________________

Nametag:______________________________________________________________

Affiliation:__________________________________________________________

Postal address:_______________________________________________________

               _______________________________________________________

               _______________________________________________________

               _______________________________________________________

               _______________________________________________________

Email address:________________________________________________________

Phone number:_________________________________________________________

Fax number:___________________________________________________________


Arrival date________________     Departure date________________


Area of interest:_____________________________________________________

 _
|_|  Yes, I wish to contribute a paper (abstracts must be received
        by April 15): 

Title of paper:_______________________________________________________

______________________________________________________________________

 _
|_|  Yes, I would like to present a problem for discussion:

Outline of problem:___________________________________________________

______________________________________________________________________

A description of the problem must be received by the organizers on or
before May 1, 1996.


 Yes, I am a user of the following package(s):
 _                 _               _              _
|_|  Cayley       |_|  KANT       |_|  LiDia     |_|  Macauley
 _                 _               _              _
|_|  Magma        |_|  Pari       |_|  Singular  |_|  Symmetrica

 _
|_|  Yes, I would like to organize a session on the topic:
 
______________________________________________________________________


Pre-registration fee (US $100):                            $__________
[Registration fee at the door will be $115]

There will be a social event on Wednesday night (buffet
dinner at Milwaukee's museum of Science and Technology
and a live show).
Tickets will be $22 per person.                            $__________

TOTAL payment enclosed:                                    $__________

Please make cheques or bank drafts (in U.S. funds, drawn on a
U.S. bank) payable to MARQUETTE UNIVERSITY.

Please mail the completed form to:

 The Second Magma Conference
 c/o Michael Slattery
 Dept. of Math, Stat, and Comp Sci
 Marquette University
 Milwaukee WI 53201-1881
 USA