Registration Form
Ninth Great Lakes Symposium on VLSI
March 4-6, 1999, Ypsilanti Marriott at Eagle Crest,
Ypsilanti Michigan
The registration fees include attendance at all symposium
sessions, symposium materials, a copy of the proceedings, cocktails on
Thursday evening, banquet on Friday evening, and continental breakfast,
lunches and coffee breaks on all three days.
Name:_________________________________________________
Organization____________________________________________
Address:_______________________________________________
City:__________________ State:__________ Zip Code:_________
Country:________________ Phone:__________________________
Dietary Restrictions
| Vegetarian_______________ |
Other_________________ |
Registration Fees (Circle amount)
| |
By February14 |
After February 14 |
| Regular |
$300 |
$350 |
| Student |
$250 |
$300 |
Students must have a valid proof of full time status (no
exceptions, please).
Extra Lunch and Banquet Tickets
| Banquet ($45 per ticket) |
Number_____________ |
Total Amount____________ |
| Lunch ($20 per ticket) |
Number_____________ |
Total Amount____________ |
|
Total of Registration and Extra Lunch/Banquet
Tickets_________________
|
Method of Payment
Payment must be by check made payable to The University
of Michigan. All payments must be in U.S. dollars,
drawn on U.S. banks.
Return this form with payment by February 14 to: Pinaki
Mazumder, GLSVLSI '99, University of Michigan, Department of EECS, Ann
Arbor, MI 48109-2122, U.S.A.