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The 2nd Analog VLSI Workshop Preliminary Registration Form
(Please use a fixed width font like courier font to see this form.)

When you fill in the form, type in on top of the line. 
(The letters do not need to be fit in the given space.)   

Please send this form to hyogo@ee.noda.sut.ac.jp by May 10,1998,
if you attend the workshop.                         ^^^^^^^^^^^^
After May 10,1998, please contact Dr. hyogo: hyogo@ee.noda.sut.ac.jp .

Workshop Registration:
Registration fee is $250, which covers proceedings, continental breakfast and
buffet-style lunch for the two workshop days, and banquet. Discount rate
for full-time students is $100. The discount rate covers continental breakfast
and buffet-style lunch only. Additional $50 must be paid when they attend the
banquet. Please pay the registration fee in cash (US dollar) at the workshop.
(Only on-site registration is available. )

Hotel Information:
We have reserved a block of rooms for the Workshop attendances at the hotel 
"Days Inn, Santa Clara" for accommodation during the Workshop.
The hotel reservation form can be obtained by clicking "Hotel Reservation Form" 
on our web site http://ieej.si.noda.sut.ac.jp/AVLSIWS/index.html (hotel location map, 
too) . Should you have some problem to get the form, please contact the Workshop 
secretariat. Please use this hotel reservation form and either mail or fax it directly 
to the Days Inn, Santa Clara. 
It is vital that hotel reservations reach the Days Inn Santa Clara by May 13,1998 
to have the special Workshop rates.                                   ^^^^^^^^^^^
The rates will also be available for Arrival on June 3, 1998 Departure on June 7, 1998.

Workshop Web Site URL:
http://ieej.si.noda.sut.ac.jp/AVLSIWS/


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To: hyogo@ee.noda.sut.ac.jp
Cc:
Subject: 2nd Analog VLSI Workshop Reg.
---------------

The 2nd Analog VLSI Workshop Preliminary Registration Form
 
Title: Prof./Dr./Mr./Miss./Mrs./Ms.:
                                    ^^^^^
Name:
     ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
               Lastname / Firstname

Affiliation:
            ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
              Company, University, Government Agency

Address:
        ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
           Number street,                Mail stop   


        ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
           City,           State/Province,     Country


        ^^^^^^^^^^^^^^^^^^^^^^^^^
           Postal Code

Phone :
       ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Fax   :
       ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
E-Mail:
       ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

(1) Classification:
                   ^^ 
    Please choose from A -> D to fill in the Classification: above.
     A: Workshop Attendance (General)
     B: Student (Speaker)
     C: Student (Attendance) 
     D: Attendance of only Banquet

    (1-1) If your answer is either B or C, also indicate 
          whether you will attend the Banquet.
          Please put an "x" on the right of Yes or No:

          Attend Banquet:Yes:   No:
                             ^^^   ^^^

(2) Banquet: 
    Please let us know your special Diet(Special Food, vegetarian, etc) 
    and we should be able to arrange it for you. (please indicate below.)
      

    ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

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