<For Overseas
Participants>
First
International Workshop on New Group
IV(Si-Ge-C)Semiconductors:
Control
of Properties and Applications to Ultrahigh Speed and Opto-Electronic Devices
(SiGe(C)
Workshop)
January
21(Sun.) - 23(Tue.), 2001 Sendai,
Miyagi, Japan
REGISTRATION FORM
Please complete this form and send it together with a copy of receipt for the bank transfer (if you pay the fee by a bank transfer) by FAX to
Junichi Murota, Laboratory for Electronic Intelligent
Systems, Research Institute of Electrical Communication, Tohoku University
2-1-1 Katahira, Aoba-ku, Sendai 980-8577, Japan
Fax: +81-22-217-5548, Tel:
+81-22-217-5548
e-mail: SiGe@murota.riec.tohoku.ac.jp
Please
type or print in block letters.
Prof.
Dr. Mr. Ms.
Name:
,
,
(Family)
(First)
(Middle initial)
Affiliation:
Mailing
Address (
Office
Home):
,
,
(Zip
code)
(Country)
Phone:
ext.
Fax:
E-mail:
Accompanying
Person
Name:
,
,
(Family)
(First)
(Middle initial)
Registration Fee |
before
Dec.15, 2000 |
after
Dec.15, 2000 |
Banquet |
|||
Regular |
¥15,000 |
¥20,000 |
¥5,000 |
|||
Student |
¥9,000 |
¥12,000 |
¥5,000 |
|||
Accompanying Person |
|
¥3,000 |
Grand Total
¥____________
Possibility
Vegetarian
Yes
No
PAYMENT
(Check either of the boxes): All payments should be made in Japanese yen.
Bank Transfer
Account Name: SiGe(C) WORKSHOP JUNICHI
MUROTA
Accont No.: 315-1389727
Bank: Asahi Bank, Sendai Branch, 2-4-1
Ichibancho, Aoba-ku, Sendai 980-0811, Japan
I agree to pay Japanese
yen by Credit Card: (for
only attendees from overseas)
Card name:
VISA
MasterCard
Card number:
, Expiration date:
Cardholder's
name(print):
Date:
Authorized
Signature: