REGISTRATION FORM
YACC'06
Yet Another Conference on Cryptography
International Colloquium on Cryptography and related topics
June 19-23 2006, Porquerolles island, France

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Payment by:
Last name:    First name:
Position/title: Affiliation:
Address:

Country:
Phone: Fax:
email:
According to the number of participants, it could happen that not enough single room would be available. In this event would you agree to share your room ?     
Yes
No 		If, yes choose double room and eventually, roommate's name:
Arrival: Departure: Do you plan to submit a talk ?
Comments, questions:
DO NOT FORGET TO SEND BY FAX ( 33.494.14.2633 ) A COPY OF YOUR BANK TRANSFER