Advance Registration Card   Phone  No.(____)__________________
Must provide all information ] Fax No.(____)__________________
Name__________________________________________________________
 (LAST)	           (FIRST)           (INITIAL)
Company_______________________________________________________ 
Address ______________________________________________________
______________________________________________________________
(CITY)		         (STATE/COUNTRY)            (ZIP CODE)

Advance Reg. for Dielectrics Short Course   
        (Wednesday, February 10)    Before Jan.22 	After Jan.22
				     	     $295             $345

Advance Reg. for CMP  Short Course    Before Jan. 22   After Jan.22
	(Wednesday, February 10)      	     $335             $385
(Short Course fees includes lunch or dinner, coffee breaks &
visual booklet)

Advance Registration for DUMIC        Before Jan. 22   After Jan.22
 	(Mon. & Tues., Feb. 8-9)              $265            $305 (Fee includes Proceedings, admission to all sessions, coffee
breaks and DUMIC luncheon) 

Advance Registration for CMP-MIC      Before Jan. 22  After Jan. 22
 	(Thur. & Fri., Feb. 11-12)             $285           $325 (Fee includes Proceedings, admission to all sessions, coffee
breaks and CMP luncheon) 

Cancellation(s) in writing by Jan. 22 are subject to $50 admin. charge,
thereafter, no refund rendered. Fees must be received at IMIC office by
1/29/99, otherwise, register at Conf. door.




‘99 DUMIC   ‘99 CMP-MIC   February 8 - 12, 1999  

Additional copies of the  ‘99 DUMIC & ‘99 CMP-MIC Proceedings will be
available at $100 each for conference attendees only. After the conference
mail orders will be accepted at a charge of $US 120  plus $15 (U.S. &
Canada) or $30 (foreign) per book for shipping and handling. 
Proceedings for last years DUMIC & CMP-MIC conferences are available at
$95 each for attendees. 

   Registration - Dielectric Short Course       	$__________
   Registration - CMP Short Course             		$__________
   Registration - DUMIC Conference           		$__________
   Registration - CMP-MIC Conference        		$__________
   Additional '99DUMIC Proceedings    #____		$__________
   Additional '99CMP-MIC Proceedings  #____		$__________  
         IMIC Tax I.D. # 59-3176166    TOTAL     	$_________ 

Make checks payable to: ‘99 IMIC  
	 Mail to:  Dr. Thomas E. Wade, Gen. Chmn.
	               5316 Witham Court
	               Tampa, Florida 33647-1026; USA
	               Fax #  (813) 978-3552
Or charge:   Visa   MC ONLY.   Exp. Date_______________

Card # ________________________________________________________

Card Name_________________________ Signature:___________________
[PLEASE PRINT]                                      [REQUIRED]