Company Name

Address

Zip Code

Main Business

□ IC Design   □Foundry  □ IC Design Service

□ EDA   □IP  □Package  □Testing  □Other

Total Number of Participants

Total:

Representatives

Gender

Job Title

Email

Telephone

Mobile

Conference Fee Class

A  B  C

A  B  C

A  B  C

Conference

Contact

Telephone / Mobile

E-mail

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

■ Conference fee: <Nanjing International Youth Convention Hotel, including conference, accommodation, meals, refreshments, materials, etc.>

□  Class A: USD 310 /person (no accommodation provided)

□  Class B: USD 460 /person (including a bed in double room of Hotel for three nights, two person share one room)

□  Class C: USD 615 /person (including a large or twin room at Hotel for three nights, single occupancy)

Note: 1. Check-in Date: November 20; Check-out Date: November 23. Room Rate: USD 102 / 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 B or Class C 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: