Dielectrics (7th International Conference) - C.M.P. Planarization (6th International Conference) and 2 Short Courses
March 5 - 9, 2001 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 16, 2001		 Postmarked
AFTER
February 16, 2001
Advanced Registration for Dielectrics/Conductors Short Course -
Tuesday, March 6thth .		 $295 $345
Advance registration for CMP Short Course
Tuesday, March 6thth 		$375 $415
(Short Course Fees include lunch, coffee breaks & visual booklet.)
Advanced Registration DUMIC/CUMIC
Monday, March 5th		 $225 $265
(Fee includes Proceedings, admission to all sessions, coffee breaks and DUMIC Luncheon)
Advance Registration CMP-MIC
Wednesday thru Friday, March 7-9th 		$425 $465
(Fee includes Proceedings, admission to all sessions, coffee breaks and CMP Luncheon)

Cancellations received in writing after February 16th are subject to a $50 administration charge. Thereafter, no refunds. All paperwork must be RECEIVED at VMIC office by February 19th, or register at the Conference Door.

Additional copies of the '01 DCMIC & '01 CMP-MIC Proceedings will be available at $85 & $110 each, respectively, for conference attendees only. After the conference, mail orders $15 plus $15 (U.S. and Canada) or $30 (foreign) per book for shipping and handling

Additional 2001 Proceeding(s)

01DUMIC/CUMIC Proceedings
(specify number ________x's Cost - $85 (to be picked up at conference)
01CMP-MIC Proceedings
(specify number ________x's Cost - $110 (to be picked up at conference) 		$
Past Year's Proceedings (specify number and years) $

TOTAL

 $

Make checks payable to: '2001 IMIC and mail to:
Dr. Thomas E. Wade, General Chairman
5316 Witham Court
Tampa, Florida, 33647-1026; USA
FAX: 813/978-3552

PAYMENT METHOD (please check one)

______ Check enclosed (U. S. Funds Only)
______ Charge my: Visa _____ Mastercard _______Discover______ American Express______
(Visa/MC/Discover/American Express 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 2001 IMIC:
  1. MAIL check and completed registration form to IMIC
    (to arrive at IMIC Office on or before February 18th, 2001)
  2. FAX completed registration form to 813-978-3552
    (credit card payments ONLY) to arrive on or before February 18th, 2001
  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 16th, 2001. 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/American Express). Purchase orders NOT accepted. Registration Form and fees must be received by February 18th. Receiving of payment after February 18, 2001 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 "2001 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 18th only, thereafter plan to register at Conference). Check, cash and credit cards (Visa/MC/Discover/American Express) accepted at Conference registration desk on-site. Pre-registered attendees may pick up their materials at on-site Conf. Registration Desk.