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: