Dielectrics (6th International Conference) - C.M.P. Planarization (5th International Conference) and 2 Short Courses
February 28 - March 3, 2000 to be held at the Santa Clara Marriott - Advance Registration
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City/State/Country/Zip		 Phone:_____/______________________

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Postmarked BEFORE
February 11, 2000		 Postmarked
AFTER
February 11, 2000
Advanced Registration for Dielectrics Short Course -
Tuesday, February 29th .		 $295 $345
Advance registration for CMP Short Course
Wednesday, March 1stth 		$375 $415
(Short Course Fees include lunch, coffee breaks & visual booklet.)
Advanced Registration DUMIC
Monday & Tuesday, February 28-29		 $285 $325
(Fee includes Proceedings, admission to all sessions, coffee breaks and DUMIC Luncheon)
Advance Registration CMP-MIC
Thursday and Friday, March 2-3 		$325 $365
(Fee includes Proceedings, admission to all sessions, coffee breaks and CMP Luncheon)

Cancellations received in writing after February 11th are subject to a $50 administration charge. Thereafter, no refunds. All paperwork must be RECEIVED at VMIC office by February 18th, or register at the Conference Door.

Additional copies of the 2000 Proceedings will be available for $100 for conference attendees only. After the conference, mail orders will be accepted at a charge of US $125 plus $15.00 (US & Canada) or $30 (foreign) per book for shipping and handling.

Additional 2000 Proceeding(s)

00DUMIC Proceedings
(specify number ________x's Cost - $100 (to be picked up at conference)
00CMP-MIC Proceedings
(specify number ________x's Cost - $100 (to be picked up at conference) 		$
Past Year's Proceedings (specify number and years) $

TOTAL

 $

Make checks payable to: '2000 IMIC and mail to:
Dr. Thomas E. Wade, General Chairman
5316 Witham Court
Tampa, Florida, 33647-1026; USA

PAYMENT METHOD (please check one)

______ Check enclosed (U. S. Funds Only)
______ Charge my: Visa _____ Mastercard _______Discover______
(Visa/MC/Discover ONLY for Conference registration)

Card Name:___________________________________________
Credit Card # _________________________________________
Expiration Date________________________________________
Cardholder Name______________________________________
(PLEASE PRINT LEGIBLY)

Signature_________________________________Date________________
(REQUIRED)

Phone # to call if problems with card_______________________________________

To Advance Register for 2000 IMIC:
  1. MAIL check and completed registration form to IMIC
    (to arrive at IMIC Office on or before February 18th, 2000)
  2. FAX completed registration form to 813-978-3552
    (credit card payments ONLY) to arrive on or before February 18th, 2000
  3. Otherwise, plan to register at the door on-site at times indicated.

IMIC Tax I.D. # 59-3176166 (or mail / fax W9)

CONFERENCE FISCAL POLICIES:

Checks must be in U.S. Dollars and drawn from bank account with U. S. Offices. If foreign financial instruments are used (e.g., Eurocheck), please add $50 processing fee. Cancellations: Refunds for cancellation of advance registration will be honored provided the request to cancel are made in writing and are received no later than February 11th, 2000. Thereafter, no refund will be given. No telephone calls will be acceptable. All refunds for cancellation will be subject to a $50 handling charge. Refunds will be sent after the conference.

Applications received without payment will not be honored as Advance Registration. Payment must be in the form of a check, money order or credit card (Visa/MC/Discover). Purchase orders not accepted. Registration Form and fees must be received by February 18th. Receiving of payment after February 18, 2000 will require full payment again at the conference, and reimbursement of prepayment after the conference, less a $50 service charge.

Use one form per person, please (photocopies accepted). Please enclose a check (U. S. Funds only) made payable to "2000 IMIC." Or you can include your Visa / Mastercard / Discover number and fax the form to the IMIC Secretary at 813-978-3552 (on or before February 11th only, thereafter plan to register at Conference). Check, cash and credit cards (Visa/MC/Discover) accepted at Conference registration desk on-site. Pre-registered attendees may pick up their materials at on-site Conf. Registration Desk.