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Registration Form
 

CSIA - ICCAD 2021 Annual Conference &

Wuxi IC Industry Innovation and Development Summit

 (ICCAD 2021)

Registration Form

Company Name

 

Address

 

Zip Code

 

Main Business

IC Design   EDA    IP   Foundry

IC Design Service   Package  Testing

Government & Association   ICC & Park

University & Research Institute    Other

Total Number of Participants

Total:

Representatives

Gender

Job Title

Email

Telephone

Mobile

Conference Fee Class

 

 

 

 

 

 

A  B  C  D

 

 

 

 

 

 

A  B  C  D

 

 

 

 

 

 

A  B  C  D

Conference

Contact

 

Telephone / Mobile

 

E-mail

 


We hope to attend this annual conference, please reserve seats and send invitations.

 Conference fee: < World Hotel Grand Juna Wuxi, including conference, accommodation, meals, refreshments, materials, etc.>

  Class A: USD 330 /person (no accommodation provided)

  Class B: USD 400 /person (including study tour, no accommodation provided)

  Class C: USD 540 /person (including a bed in double room of Hotel for three nights and study tour,two person share one room)

  Class D: USD 680 /person (including a large or twin room at Hotel for three nights and study tour, single occupancy)

 

Note: 1. Check-in Date: November 10; Check-out Date: November 13. Room Rate: USD 93 / night / room (including single or double breakfast).

 2. Since the hotel room cannot be reserved, the organizing committee will only reserve the room for the participants who pay conference fee of the Class C or Class D in advance on a first-come, first-served basis according to the remittance order. If you need anything else, please contact the organizing committee and register in advance.


Total Amount: USD __________________


Bank Transfer:

Account Name: Shanghai Yaxun Shangwu Zixun Co., Ltd.

Bank: Bank of Shanghai Puxi Branch

Account number: 31691300005070642

SWIFT BIC: BOSHCNSH

It should be stamped with the official seal or signed by the person-in-charge:

 

Date:

 

The copy of this form is also valid. Please return this form together with the remittance voucher to the preparatory group of the annual conference by mail, so that the conference group can arrange all the work. We sincerely look forward to your participation!


Contract Person: 

Shirley Hu

Mob: +86-18917192814

E-mail: shirleyhp@cicmag.com