Control '96 Registration


Avoid the queues - pre-register. Just complete this form, fax it
to (09) 473-9109 and collect your badge at Control '96 reception.

Note: Control 96 will be of interest to a number of people in your
      company. Please copy this form fro additional staff members.
      Every visitor must register at reception.

Registration - Print Form to fill out
-------------------------------------

Tick areas of interest:
----------------------

__ 01  Automation               __ 06  Measurement
__ 02  Components               __ 07  Pneumatics
__ 03  Control                  __ 08  Quality Assurance
__ 04  Design                   __ 09  Robotics
__ 05  Instrmentation           __ 10  Other (please specify)

Job Function:
------------

__ 11  Managing Director / Owner / Partner
__ 12  Technical / Works / Producation Director
__ 13  Other Director / General Manager / Company Secretary
__ 14  Chief Engineer
__ 15  Production / Plant Manufacturing Manager
__ 16  Chief Designer / Design Manager
__ 17  R & D Engineer
__ 18  Consultant
__ 19  Production Engineer
__ 20  Design Engineer
__ 21  Plant Maintenance / Works Engineer
__ 22  Project Development Engineer
__ 23  Instrument Control Engineer
__ 24  Electronic / Electrical Engineer
__ 25  Buyer / Purchaser
__ 26  Sales / Marketing
__ 27  Other (please specify)

I Have the authority to...
-----------------------

__ 28  Purchase
__ 29  Specify
__ 30  Recommend

For further details or conference registration
please indicate on registration form.

Please send me details on conference registration.
Please complete or attach business card:

Name             ________________________
Position / Title ________________________
Company          ________________________
Postal Address   ________________________
Phone            ________________________
Fax              ________________________

The above information will be provided to Control '96
Exhibitors. If you do not wish to be included on the
mailing lists please write to the IMC Secretary:

        Cedric Randerson
        P.O. Box 26-314, Auckland 3
        Phone: 09-523 1310, Fax: 09-522 1833