18th International VMIC Conference - November 27-30, 2001
to be held at the Santa Clara Marriott - Advance Registration
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Name: (type or print)
(Last) First Middle

Company/University:

Address:


____________________________
City/State/Country/Zip		 Phone:_____/______________________

FAX: _____/______________________
Email:

 Postmarked Before
Nov. 12th		 Postmarked After
Nov. 12 th
Advanced Registration for SHORT COURSE -CMP
Tuesday, Nov. 27th -9:00 a.m. to 5:00 p.m.		 $295 $340
Advanced Registration for SHORT COURSE : COPPER/LOW-K
Tuesday, Nov. 27th - 9:00 a.m. to 5:00 p.m. 		$285 $330
Advanced Registration for State-of-the Art SEMINAR
Friday, Nov. 30th - 8:00 a.m. - 5:00 p.m.		 $375 $425
(Fees for tutorial & Seminars includes lunch, coffee breaks and visuals booklet)
Advance Registration for CONFERENCE:
(Wednesday - Thursday, November 28-29th, 2001)
$365 $425
(Fee Includes Proceedings, coffee breaks, box-lunch on Tuesday and Admission to Sessions)

Cancellations received in writing by November 12th are subject to a $50 administration charge. Thereafter, no refunds. All paperwork must be RECEIVED at VMIC office by 11/13/2001, or register at the Conference Door.

Additional copies of the '01 Proceedings will be available for $110 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.

Thursday, Nov. 29th AWARDS LUNCHEON TICKETS are $25.00 each. There is limited seating,
only 250 tickets will be sold - first come first served basis.

Proceedings for past years' VMIC conferences (for attendees): $100 for 2000; $95 for 1999; $90 for 1998 VMIC.

Registration Conference $
Registration Short Course: CMP: _________ Copper/Low-K: _________ $
Registration: Seminar $
Awards Luncheon Ticket: Number of Tickets _______ x's $25.00 $
Additional 01 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: '01 VMIC 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______ AMX_____
(Visa/MC/Discover/AMX 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 '01 VMIC:
  1. MAIL check and completed registration form to VMIC
    (to arrive at VMIC Office on or before November 13, 2001)
  2. FAX completed registration form to 813-978-3552
    (credit card payments ONLY) to arrive on or before November 13, 2001
  3. Otherwise, plan to register at the door on-site at times indicated.

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