ASIC/SOC'99 Registration Information (September 15-18, 1999) Name____________________________________ Organization_____________________________ Dept/Division___________________________________ Address______________________________________ ______________________________________________ City__________________ State/Province_________________ Zip/Postal Code_________________________________ Country_________________Telephone_____________________________Fax #__________________________Email_________________________________ Conference Registration: ( Full Registration (IEEE Member/Non-Member) includes technical sessions, Thursday evening Banquet, Friday Luncheon, and conference proceedings. Note for Authors: Each paper should have at least one full registration from one of the authors; student registration, one or two day registration will not be counted towards this requirement If you are an author and this registration counts towards the full registration requirement, please state the paper number and title as in the final program: (example: FA1.7 or WP1.6): Received Received before after Registration 8/16 8/16 IEEE Member $380 [ ] $430 [ ] Non-Member $430 [ ] $480 [ ] Full Time Student* $75 [ ] $100 [ ] Addl. Banquet $45 [ ] $45 [ ] Addl. Luncheon $30 [ ] $30 [ ] * ID required, does not include Luncheon and Banquet Workshop (two half day tutorials; select one workshop for morning and one for afternoon): IEEE Member $100 [ ] $150 [ ] Non-Member $150 [ ] $180 [ ] Full Time Student** $70 [ ] $70 [ ] Workshop (one half day tutorial; select the workshop): IEEE Member $70 [ ] $100 [ ] Non-Member $100 [ ] $120 [ ] Full Time Student** $40 [ ] $40 [ ] ** If space available. Dietary restrictions if any for Banquet and luncheon: Vegetarian______ Other ___________ (accommodation of any or all restrictions cannot be guaranteed) ------------------------------------------------------------------------ Extra 1999 Proceedings: IEEE members ______ @ $45 each US$ _________ Non-members ______ @ $50 each US$ _________ By mail add $5 per order US$ _________ 1990-1998 Proceedings By mail ______ @ $30 each _________ Specify Years __________ Check all that apply IEEE Member #____________________________ Distinguished speaker____ Presenting Author___ Invited Speaker___ Technical Committee___ Session Chair___ Organizing Committee___ Student___ Workshop Presenter___ This is a corrected/updated address___ ------------------------------------------------------------------------ Tutorial Workshop Selection Saturday 9/18) Morning Workshops: (8 am - 12 noon) * Think Hardware: Behavioral Design Reuse ___ * Interconnect Modeling, Signal Integrity and Reliability Verification in Deep Submicron Digital Designs___ * Low Power Design for Systems on a Chip ___ Afternoon Workshops: (1:00 pm - 5:00 pm) * Hardware/Software Codesign___ * High Performance Interconnect Design__ * Noise immune ASIC design ___ ------------------------------------------------------------------------ Make Check (in US$) payable to: ASIC/SOC Conference Visa ____ Master Card _____ American Express________ Diners Club __________ Name:_____________________________________ Card #:____________________________________ Expiration Date: ________/________ TOTAL REMITTANCE: US$_______________________ Signature: ____________________________________ ------------------------------------------------------------------------ Mail Registration Form & Payment: 1999 ASIC/SOC Conference 101 Lakeforest Boulevard, Suite 400-B Gaithersburg, MD, 20877 Phone: (301) 527-0900 Fax: (301) 527-0994 Email: wendyw@widerkehr.com No refunds will be made after 8/31/99. All requests for refunds must be in writing. There will be a US$50.00 service charge on all refunds. For Office Use: Registration ID Payment Form