REGISTRATION FORM (printer friendly)
Please mail or fax this form to:
5305 Spine Rd., Ste. A
Boulder, CO 80301 USA
Tel: (303) 530-4562 Fax: (303) 530-4334
First Name ____________________________
Last Name ____________________________ Company ____________________________
Address 1 ____________________________ Address 2 _____________________________ City ___________ State ________ Zip _____
Country ______________________________ Phone ________________________________ Fax ____________________________
ADVANCE REGISTRATION (Postmarked by May 15, 2003)
The registration fee covers the documentation, the lunch for five days, dinner for four days including the social dinner. The attendance will be limited to 65 persons. It is necessary to register in advance.
Send full payment in U.S. dollars with this form. Use a check drawn on a US bank or a major credit card. For payments from non-U.S. banks the attendee will be charged a collection fee of US$30.00. Purchase orders are not accepted.
Regular attendee Student Advance Registration $ 1850 $ 925 After May 15 $ 2500 $ 2500
TOTAL FEES _______
Make checks payable
to MPSOC'03. Use your credit card if registering by fax.
check___ credit card ___Visa ___ Mastercard ___ American Express ___ Card # _____________________________ Exp. date_____
Name(as it appears on card) _____________________________ Signature _________________________________
REFUNDS: Requests for refunds received before June 15, 2003 will be subjected to a $50 processing fee. No refunds will be made for cancellations received after June 15, 2003 and all registration fees will be forfeited. Attendance is limited to 65 participants. Register early to avoid disappointment. No registrations will be accepted after June 30.