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Napa Valley | Symposium Organization | Information for Authors
Name: _______________________________________________________ Company/University: _________________________________________ Responsibility/Title: _______________________________________ Address: ____________________________________________________ City: _______________________________ State: ________________ Country: ______________________ Postal Code: ________________ Phone: ________________________ Fax: ________________________ Email: ______________________________________________________ Food Choices: [ ] Vegetarian meals only [ ] Swordfish or [ ] Filet Mignon (Monday dinner) Advance Late (Through March 17) (After March 17) ACM/IEEE Members [ ] $350 [ ] $425 Non-Members [ ] $425 [ ] $500 Full-Time Students [ ] $175 [ ] $225 Student ID is required if registering as a student. ACM or IEEE Member No. _____________________________ Registration fee includes meals and Banquet. A limited number of additional Banquet tickets are available. _______ Extra Banquet tickets at $50/each. Payment may be submitted via personal or company check in US funds only and drawn on a US bank, made payable to ``ACM/1997 International Symposium on Physical Design''. Payment may also be made with credit card (circle): Mastercard Visa American Express Credit Card # _______________________________________________ Expiration Date: ______________ Total Payment: ______________ Name as it appears on credit card: __________________________ Signature: ___________________________ Date: ________________ Please mail or FAX (credit card only) your completed registration form to: ISPD-97 Symposium Registration Sally Souvannavong, Treasurer P.O. Box 395 Pullman, WA 99163-0395 FAX: 1-509-335-3818 Email registration will not be accepted. Cancellations must be in writing and must be received by March 31, 1997. Questions concerning symposium registration should be directed to Sally Souvannavong at 1-509-334-3162, Email: email@example.com.