REGISTRATION

As a recognised expert in the field of microelectronics, electronic components and materials, you are invited to become a member of MIDEM and actively take part in its activities and actions.

Please send your completed registration form ( Registration.pdf ) to the following address:

MIDEM

STEGNE 7

1000 LJUBLJANA

SLOVENIA

MIDEM SOCIETY REGISTRATION FORM

1. First Name  ........................................... Last Name ............................................

   Address ...................................................................................................................

   City ........................................................................................................................

   Country ............................................... Postal Code ..............................................

2. Date of Birth ...........................................................

3. Education ( please, circle whichever appropriate )

PhD                 MSc                BSc                 Student               High School    

3. Profession ( please, circle whichever appropriate )

Electronics                Physics             Chemistry                Metallurgy                 Material Sc.

4. Company ................................................................................................................

   Address  ....................................................................................................................

   City    .......................................................................................................................

   Country ........................................................ Postal Code .......................................

   Tel. ........................................................ FAX .........................................................

   E-mail ........................................................................................................................

5. Your Primary Job Function

Fabrication                   Engineering       Facilities                     QA/QC   

Management               Purchasing                       Consulting                        Other

6. Please, send mail to          a) Company address                b) Home Address

7. I will regularly pay MIDEM membership fee, 40.00 EUR/year

MIDEM members receive Journal "Informacije MIDEM" for free !!!

   Signature .................................................. Date ...............................................