IRW Registration Form - Oct 15-18, 2001
Mon. eve., Oct. 15 - Thur. noon, Oct. 18

(Please type, print or attach business card)           (Use also for reserving accommodations to EIA/JEDEC Committee JC14.2 meeting, Oct. 18-19)

NAME (last, first + initial):___________________________,__________________________

company: _______________________________________________mail stop:__________________

address: _________________________________________________________

city: _______________________ state/country:______________________zip/postal code: __________

phone: ____________________ fax: _________________________

email: ______________________________________________________________

All attendees have the opportunity to present a poster to communicate their ideas and results on a technical project or issue. Please indicate your intention to bring a poster.
(__) Will...       (__) Will not... need poster board. You will be provided with a poster board for one of the poster sessions to share your ideas and your results on a technical topic or issue. Instructions will be sent to you if you register for a poster. You will be provided with a 32" x 40" poster board. For questions on posters contact: emmanual.vincent@st.com

REGISTRATION FEES (US$)

*The Workshop Registration Fee includes: 3 nights housing accommodations (Monday--Wednesday) at the Stanford Sierra Camp cabins, nine meals (dinner Monday--lunch Thursday) and refreshments (no-hostbar), on-site recreation activities, parking for your car, the Presentation Viewgraph Booklet (at the workshop), and the Final Report (after the workshop).
** The JEDEC Committee fee for accommodatons includes: housing on Thursday night, 3 meals (dinner Thursday -- lunch Friday), refreshments, and parking for your car.
IEEE Member (incl. Mem # _______________ ) .........$945.* ______________
NON-IEEE Member ................................... $995.* ______________
Extra copies of Workshop Final Report, Qty.___x ... $ 80.  ______________
JC14.2 accommodations ............................. $180.** _____________
TOTAL REMITTED ......................................... $ ______________
Meeting registration automatically includes a room reservation

Method of Payment: (check one)
(__) Check: Make checks payable to: 2001 IRW
(__) WIRE TRANSFER (add $30 for bank fees) information call 315-339-3968
(__) Credit Card (check one):      (  )AMEX      (  )MASTER CARD      (  )VISA      (  )Diners Club

Card No.____________________________ Expiration Date:___________

Signature:____________________________________________________

CANCELLATION fees: $50 after September 21; FULL FEE after October 5
Send to IRW Registration; P.O. Box 308; Westmoreland, NY 13490-0308; Or if paying by credit card, fax to 315-336-9134; Questions? becky@sar101.com or at 315-339-3968