February 11-14, 2019
Kauai Marriott Resort
Lihue, Kauai, Hawaii
SECURE FORM
24th Annual Pan Pacific Microelectronics Symposium
Registration and Housing Form



SMTA Member ID#:
  Ph.D.    Mr.    Ms.
* First Name:
* Last Name:
Job Title:
* Company Name:
* Address:
 
* City:
State/Province:
* Zip:
* Country:
* Phone:
Fax:
* E-mail:
used for e-mailing the order receipt

* A. Registration Fee
(Choose your member type)
(On or before 12/22/2018) (After 12/22/2018)
Member $725 $825
Non-member $825 $925
Speaker/Chair Member $625 $725
Speaker/Chair Non-Member $700 $800

 Purchase membership or
     renew current membership
(member discount will be applied)


$95


B. Additional Purchases
 Additional Access to Proceedings $300
 
 Additional guest meal package
Includes: Monday Welcome Reception, Tuesday Companion Social Breakfast, Lunch on Tuesday and Wednesday, Mai Tai Bar on Wednesday afternoon, and Thursday Night Luau
$225
    First Name:   Last Name: 

 Luau Only (Guest) $125
    First Name:   Last Name: 

 Luau Only (Kids 5-12 - Kids Under 5 are free) $50
    First Name:   Last Name: 

 Golf Outing (Monday, 8:00am start) $180 per person
     Number Attending: 
  Names of Golfer(s):
   1) 
   2) 
   3) 
   4) 
  Rental Clubs Needed:
  Right Handed  
  Left Handed    

C. Housing Information (please mark the appropriate boxes)
Final deadline to reserve a room was 1/24/2019. You will need to contact the hotel directly to make reservations at this time.

  I'll make my own arrangements at another hotel
  Other: 

Payment
* Registration Fee:  Total from section A
Additional Purchases:  Total from section B
Housing Deposit (If you are staying at the event hotel using the conference rate, a deposit of one-night's room rate is required.)  From section C if applicable
* Total Payment Due:  A + B + C

Credit Card Info
* Card Type:
* Account Number:
* Cardholder Name:
* Security Code:
* Expiration Date: /
month / year
* Billing Zip Code:

If necessary, please print a copy of this page for your accounting purposes.


   

* Required
** Required if staying at conference hotel