NETWORK ON HEALTH EXPECTANCY

REVES 9

(REVES: Réseau Espérance de Vie En Santé)

Statement of intention to attend REVES 9 meeting

Roma, Italy 11-13 December 1996

Please return a page indicating your intentions regarding attendance at the meeting and whether or not you purpose to present a paper. I would appreciate receiving your reply by FAX as soon as possible to enable me to plane the conference program.

As with previous meetings, there are no funds generally available for travel or accommodation, so these costs will have to be borne by each participant.
As with previous meetings, there will be a registration fee of about $200.

From
Name : ..............................................................
Address : ..............................................................
Affiliation : ..............................................................
Country : ..............................................................
Fax : ..............................................................
Telephone : ..............................................................
E-mail : ..............................................................

Please check as many statements as may apply.
|_| I definitely plan to attend the REVES 9 meeting in Rome 11-13 Dec 96
|_| I would like to present a paper (Please attach a short abstract, including names of all authors)
|_| I am considering attending the REVES 9 meeting in Rome
|_| I am not planning to attend the REVES 9 meeting in Rome

Please send your reply by FAX to:

Viviana Egidi
ISTAT
Direzione Centrale delle Statistiche su Popolazione e Territorio
Via Ravŕ 150
1-00142 Roma Italy
39-6-594 30 06 (Phone)
39-6-594 32 57 (Fax)