International Seminar on Application-Specific Multi-Processor SoC
7 - 11 July 2003, Hotel Alpina, Chamonix, France


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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 ____________________________
Email  ________________________________

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.


Regular attendee Student
Advance Registration  $ 1850 $ 925
After May 15 $ 2500 $ 2500

TOTAL FEES _______

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.

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.