HLDVT'98 WORKSHOP REGISTRATION FORM

First Name ___________________________ Last Name ___________________________

Company ______________________________ Mail Stop ___________________________

Street Address ___________________________________ City ____________________

State __________________ Zip Code ___________ Country ______________________

Tel: ________________________________ Fax: _________________________________

E-mail: _________________________________ IEEE Member No.: _________________

Dietary Requirement: Vegetarian ____ Other _________________________________

I WILL ATTEND THE SOCIAL PROGRAM ____

(No extra charge for HLDVT'98 registrants)

ADVANCE REGISTRATION
(Postmarked by October 19, 1998)

IEEE Member	IEEE Student Member	Non-Member
$345	$200	$445

LATE REGISTRATION
(After October 19, 1998)

IEEE Member	IEEE Student Member	Non-Member
$445	$250	$545

Social Program for companion @ $70 _____

Total Fees ___________

SEND FULL PAYMENT in $US 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 $30.00. PURCHASE ORDERS ARE NOT ACCEPTED. MAKE CHECKS PAYABLE TO 1998 IEEE HIGH LEVEL DESIGN VALIDATION & TEST WORKSHOP. USE YOUR CREDIT CARD IF REGISTERING BY FAX.

Check ___

Credit Card ______ Visa ____ Mastercard ____ American Express ___

Card No. ________________________________ Exp. Date _____________

Name (as it appears on card) ____________________________________

Signature _______________________________________________________

Refunds: Requests for refunds received before October 19, 1998 will be subject to a $50 processing fee. No refunds will be made for cancellations received after October 19, 1998 and all registration fees will be forfeited. Attendance is limited. Register early to avoid disappointment.

HLDVT'98 HOTEL REGISTRATION FORM

HOTEL SPACE IS LIMITED. PLEASE REGISTER AS EARLY AS POSSIBLE TO AVOID DISAPPOINTMENT

Mail or fax this form to:

Sheraton Grande Torrey Pines
Group Name: IEEE/HLDVT'98
10950 North Torrey Pines Road
La Jolla, CA 92037
Tel: 1 800 762 6160
Tel: 1 619 558 1500
Fax: 619 597 6962

First Name ___________________________ Last Name ___________________________

Company ______________________________ Mail Stop ___________________________

Street Address ___________________________________ City ____________________

State __________________ Zip Code ___________ Country ______________________

Tel: ________________________________ Fax: _________________________________

Check Accommodations Desired

Single @ $155 ____ Double @ $155 ____
Rates are per day in $US. Add 10.5% tax.

Arrival Date _____________ Departure Date ______________

Your reservation can be guaranteed by credit card. Your credit card will be billed for first nights deposit.

Credit Card ______ Visa ____ Mastercard ___ American Express ___

Card No. _______________________________ Exp. Date ____________

Name (as it appears on card) ___________________________________

Signature _____________________________

Cancellations must be received at least 24 hours prior to arrival.