IRW Registration Form - Oct 18-21,1999
(Use also for reserving accommodations to EIA/JEDEC Committee JC14.2 meeting, Oct. 21-22)
(Please type, print or attach business card)

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

company: _______________________________________________mail stop:__________________

address: _________________________________________________________

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

phone: ____________________ fax: _________________________

email: ______________________________________________________________

YOUR POSTER TITLE: __________________________________________________
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.

REGISTRATION FEES (US$)

IEEE Member (incl. Mem # _______________ ) .........$925.* ______________
NON-IEEE Member ................................... $975.* ______________
* Includes all meals, lodging, Handout, & Final Report.
(Mon. eve., Oct. 18 - Thur. noon, Oct. 21)
Extra copies of Workshop Final Report, Qty.___x ... $ 80.  ______________
JC14.2 accommodations ............................. $160.** _____________

TOTAL REMITTED ......................................... $ ______________
Meeting registration automatically includes a room reservation

Method of Payment: (check one)


Send to IRW Registration; P.O. Box 308; Westmoreland, NY 13490-0308
Or if paying by credit card, fax to 315-336-9134
Questions? sar@ntcnet.com or at 315-339-3968

*The Workshop Registration Fee includes: your housing accommodations at the Stanford Sierra Camp cabins, all meals 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, meals (from dinner on Thursday through buffet lunch on Friday),refreshments, and parking for your car.

CANCELLATION fees: $50 after September 24; FULL FEE after October 8