Advance Registration Deadline
April 25, 2001 |
|
|
|
2001 VLSI Symposia
REGISTRATION FORM
| Remittance for the 2001 Symposium is strongly encouraged to be paid in Japanese Yen, by the use of internationally recognized credit cards, and through the Japanese Secretariat. |
| However, for special cases where payment in US dollars is more convenient or required, please remit payment through the US Secretariat. Please contact US Secretariat concerning any unusual circumstances or methods of payments. |
| Please complete and return this form to |
|
Secretariat for VLSI Symposia (USA)
c/o Widerkehr and Associates
101 Lakeforest Boulevard, Suite 400B, Gaithersburg, MD 20877, USA
Tel: +1-301-527-0900 ext. 103 / Fax: +1-301-527-0994 / E-mail: vlsi2001@aol.com |
Please type or print in block letters to avoid trouble.
 Prof.
Dr.
Mr.
Ms. /
Speaker
Committee |
Name: |
 |
, |
 |
|
|
|
Family |
|
First |
Middle |
|
Mailing Address:
Office
Home: |
 |
|
Country |
Tel: |
+
|
Fax: |
+
|
|
Country Code |
|
Country Code |
E-mail: |
|
Accompanying Person(s),
if any: |
|
Conference |
on or before
April 25 |
On or before May 18
and on-site |
Student* |
| VLSI Technology Short Course |
US$ 100 |
US$ 150 |
US$ 50 |
| Symposium on VLSI Technology |
US$ 450 |
US$ 500 |
US$ 200* |
| Symposia on VLSI Technology and Circuits |
US$ 800 |
US$ 900 |
US$ 250* |
| VLSI Circuits Short Course |
US$ 100 |
US$ 150 |
US$ 50 |
| Symposium on VLSI Circuits |
US$ 400 |
US$ 450 |
US$ 150* |
| IWSM |
US$ 180 |
| Silicon Nanoelectronics Workshop |
US$ 200 |
US$ 250 |
US$ 100 |
|
|
| Grand Total US$ |
US$ |
*Student registration fee does not include dinner. Dinner tickets will be available at the registration desk for an additional fee.
This fee will be applied on or before May 18 and on-site. |
|
I have enclosed a personal check, company check or bank draft in US Dollars for the above grand total payable to the order of
the 2001 VLSI Symposia. |
|
I have enclosed payment, in a form that has been agreed to by Widerkehr and Associates, in US Dollars for the above grand total
payable to the order of the 2001 VLSI Symposium. |
|