SAME 2001 Registration

I will attend at SAME 2001

Company * :

Last Name * :

First Name * :

Function * :

Address 1 * :

Address 2 * :

Zip Code * :

City * :

Country * :

E-mail * :

Tel * :

Cell :

(*) Mandatory fields

November 14 Th 2001
I will attend to :

	9:12h Tutorial 1 : xDSL Data Transmission, Jean-Yves MICHEL, Centillium Communication
	9:12h Tutorial 2 : Challenges of Physical Design of VDSM CHIP, Jacques-Olivier PIEDNOIR, Cadence Design Systems
	14:17h Tutorial 3 : Bluetooth, Michel EFTIMAKIS & Dominique CHOMIENNE, Newlogic
	14:17h Tutorial 4 : The Esterel Studio Technology, Gérard BERRY, Esterel Technologies

	Price for a Tutorial is : 1500 FF TTC (228,67 € TTC)

November 14 Th (from 2pm) and 15 Th 2001
	I will attend at SAME 2001 (Technical conferences and exhibition) Entrance Free

Lunch
Do you think you will stay at CICA for Lunch (snack will be at your charge) For information purposes only (no financial engagement required.)
	Wednesday, November 14 th
	Thursday, November 15th
I will pay tutorial by :

Check to CCI Nice Côte d'Azur
Send to SAME 2001
Maison des Entreprises - C/o CERAM
60 Rue Dostoïevski - BP 085
06902 Sophia Antipolis Cedex
FRANCE

Swift to BPCA Nice Entreprises
Bank Code : 15607
Branch Code : 00065
Acct N° : 01019030510
Rib Ref. : 58

If you are experienced on-line registration problems, please print this document
and fax the form to : 00 33 4 93 95 45 58