Dielectrics (7 8th International Conference) - C.M.P. Planarization (7th International Conference) and a Short Course
February 25 - March 1, 2002 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
February 11, 2002		 Postmarked AFTER
February 11, 2002
Advanced Registration CMP Chort Course
Tuesday, February 26		 $375 $415
(Fee includes Proceedings, admission to all sessions, coffee breaks and DUMIC Luncheon)
Advanced Registration DCMIC
Monday, February 25		 $195 $235
(Fee includes Proceedings, admission to all sessions, coffee breaks and DUMIC Luncheon)
Advance Registration CMP-MIC
Wednesday thru Friday, February 27 - March 1st. 		$425 $465
(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 13th, or register at the Conference Door.

Additional copies of the '02 DCMIC & '02 CMP-MIC Proceedings will be available at $75 & $110 each, respectively, for conference attendees only. After the conference, mail orders add $15 plus $15 (U.S. and Canada) or $30 (foreign) per book for shipping and handling

Additional 2002 Proceeding(s)

02 DCMIC Proceedings
(specify number ________x's Cost - $75 (to be picked up at conference)
02 CMP-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: '2002 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) Check Number:______________________

OR 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 2002 IMIC:
  1. MAIL check and completed registration form to IMIC
    (to arrive at IMIC Office on or before February 13th, 2002)
  2. FAX completed registration form to 813-978-3552
    (credit card payments ONLY) to arrive on or before February 13, 2002
  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 $75 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, 2002. 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 13th. Receiving of payment after February 13, 2002 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 "2002 IMIC." Or you can include your Visa / Mastercard / Discover / AMX number and fax the form to the IMIC Secretary at 813-978-3552 (on or before February 13th 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.