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%%                   ISPD-97 Advance Registration Form                      %%
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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 ``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: ispd97@eecs.wsu.edu.