2017 AEC Workshop Registration Form


Registration Deadline: April 7, 2017

To register for the 2017 AEC Reliability Workshop, please fill out the following form and press submit. You will receive a registration confirmation from the AEC. If you do not receive a confirmation by April 7, 2017, please contact the Technical Committee.

Remember to make room reservations directly with the hotel. The hotel registration deadline is March 27, 2017 (2017 AEC Reliability Workshop - Call for Presentations (pdf) ).

Please verify your email address is correct.



 

Your Full Name:

 

 

Company Name:

 

 

 

 

 

 

Address:

 

 

Mail Stop:

 

 

City:

 

State:

 

Zip:

 

Country:

 

 

 

 

 

 

 

Phone:

 

 

 

 

 

 

 

Email Address:

 

 

 

 

 

 

 

Retype Email Address:

 

 

 

 

 

 

 

 

I wish to attend the following sessions: 

 

Passive Component Session (Tue) *

 

Yes No

Discrete Semiconductor Session (Tues) *

 

Yes No

Integrated Circuit Sessions (Wed-Thurs) *

 

Yes No

Workshop Panel Sessions (Tues-Wed-Thur) *

 

Yes No

 

* Note: Schedule subject to change; see tentative agenda in the Call for Presentations.




PLEASE NOTE: In registering for this event, the attendee assumes full and complete responsibility for any injury or accident to their person which may occur while traveling to or from the event, during the event, or while on the premises of the event. Attendee hereby agrees to indemnify, defend, and hold harmless the event organizer and its officers and employees from and against any and all losses, claims, liabilities, penalties, causes of action, damage, costs and expenses including attorney fees, whether arising from contract, negligence or otherwise and arising out of injury to or death of any person or damage to or destruction of any property related in any manner whatsoever to the attendee's presence at the event.


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