2000 VLSI Symposia Registration Form

2000 VLSI Symposia
REGISTRATION FORM

ADVANCE REGISTRATION DEADLINE
May 19, 2000

Registration in U.S. dollars


Registration in Japanese Yen
Secretariat (US): 2000 VLSI Symposia Widerkehr and Associates Suite 400B 101 Lakeforest Blvd. Gaithersburg, MD 20877 USA FAX: 1-301-527-0994	Secretariat (Japan): 2000 VLSI Symposia Business Center for Academic Societies Japan Conference Department 5-16-9 Honkomagome Bunkyo-ku, Tokyo 113-8622 Japan FAX: 81-3-5814-5823

Registration Information

Please enter the following information. You will then be given a completed registration form to print and mail with your payment.

Your Name:

(Family Name, First Name, Middle Initial)

Your Organization/Institution/Company:

Mail Stop (very important):

Your Street Mailing Address:

City: State:

Zip Code:

Country:

Phone: Fax:
E-mail Address:

IEEE/JSAP member number:

Accompanying Person(s) if any:

Please check off your category:

IEEE/JSAP member Non-member Student

Select all options that you are interested in. Refer to the table below for prices by category.

Technology Short course

Stat. Metrology Workshop

Technology Symposium

Tech/Circuits Symposium

Circuits Short Course

Circuits Symposium

Add'l Technical Digest(s)

Quantity: Technology Circuits

Add'l Short Course Books

Quantity: Technology Circuits

Add'l Banquet Tickets

Quantity: Technology Circuits

Payment in US dollars is strongly encouraged by the use of credit cards (MasterCard/Visa) and through the American Secretariat. However, for special cases where payment in Japanese required, please remit payment through the Japanese Secretariat.

Payment Method (You must choose either US Dollars or Japanese Yen):

US DOLLARS

Check

Mastercard/Visa
Account #: Exp. Date:

Japanese Yen

Check

Bank Transfer
Bank Name: Transfer Date:

SUMMARY OF FEES

The deadline to register is May 19, 2000. After May 19, 2000 you must register on-site. If you register on-site, an additional $75 will be added to the registration fees.

	Member		NonMember		Students
	US$	Yen	US$	Yen	US$	Yen
Technology Short Course	$275	¥31000	$300	¥33000	$75	¥9000
Statistical Metrology	$185	¥21000	$225	¥25000	$175	¥20000
Technology Symposium	$395	¥45000	$445	¥50000	$195	¥22000
Tech/Circuits Symposia	$695	¥80000	$795	¥90000	$390	¥43000
Circuits Short Course	$275	¥31000	$300	¥33000	$75	¥9000
Circuits Symposium	$395	¥45000	$445	¥50000	$195	¥22000
Digests	$75	¥9000	$75	¥9000	$75	¥9000
Add'l Short CourseBook	$40	¥5000	$40	¥5000	$40	¥5000
Banquet Tickets	$75	¥9000	$75	¥9000	$75	¥9000

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