I would like to register for the "Workshop on Testing Digital Video Systems
and Quality Metrics Based on Perceptual Models and Architectures" as:

   (a) ____ Delegate(s)-full registration
or
   (b) ____ Delegate(s)-student registration.


NAME:                         ________________________________________________

POSITION (if applicable):     ________________________________________________

ORGANISATION (if applicable): ________________________________________________


ADDRESS:  ____________________________________________________________________
             
          ____________________________________________________________________
                     
          ____________________________________________________________________


PHONE: __________________   FAX: _________________   EMAIL: __________________


STUDENT REGISTRATIONS:
	Please include your student number and a letter from the Head of
	Department/School confirming your student status.

CANCELLATIONS:
	A full refund is available for cancellation received in writing on or
	before 20 June 1997.  $50 cancellation fee is applicable for
	cancellation received in writing after 10 June and on or before 4 July
	1997.  NO REFUND CAN BE MADE AFTER 4 JULY 1997.

For further information, please contact:
	Dr H.R. Wu, 
	Associate Professor, 
	Department of Digital Systems, Monash University, 
	Clayton Campus, Clayton 3168. 
	Tel: +61 3 99053255  Fax: +61 3 99053574 
	email: hrw@dgs.monash.edu.au 

PAYMENT:
          __ Cheque or Money Order (made out to: Monash University)  
          
    or:   __ Credit Card             Please charge my  __ MasterCard
                                                       __ Visa
                                                       __ Bankcard

 Credit Card Number    __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

 Valid From  ______________     Expiry Date  ______________
        
Name on Credit Card  ____________________________________________________

Signature of cardholder ________________________________


PLEASE FORWARD THIS REGISTRATION FORM AND PAYMENT TO:
	Video Coding Workshop,
	Department of Digital Systems, Monash University,
	Clayton Campus, Wellington Road, Clayton 3168, 
	AUSTRALIA.