Early Registration Discount Form
Send completed form to:
International Test Conference
c/o BADGEGuys Fax: +1 678.669.1802
1959 Jester Circle
Lawrenceville, GA 30043 USA
Please take a few moments to tell us about yourself. Fax or mail with your registration form.
1. My principal job function is: (mark only one)
□ Test engineering □ Board/system test □ Manufacturing
□ Product engineering □ System design □ Marketing/sales
□ Application engineering □ Quality/reliability □ Corporate management
□ Testability (DFT) □ Software development □ Other _____________
□ IC Design (not DFT) □ Research/academic
2. My principal responsibility is: (mark only one)
□ Technical staff □ Technical management □ Faculty
□ Other staff □ Other management □ Student
3. The industry sector that I work in is: (mark only one)
□ Semiconductor/component □ Telecommunications provider □ Test creation services
□ Computers/business equipment □ Military/aerospace □ IP Provider
□ Communication/networking equip. □ Test equipment □ Education
□ Consumer electronics □ Other electronic equipment □ Other ________________
□ Electronic design automation □ Contract manufacturing test
4. I have been working in test and/or design for:
□ < 1 year □ 1-5 years □ 6-10 years □ > 10 years
5. I have attended ITC Test Week:
□ First time □ 1-3 times □ 4-6 times □ > 6 times
6. Please rate the new ITC Test Week Web site for:
Excellent Good Fair Poor No Opinion
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7. Please rate your interest in the following ITC topics:
Very Somewhat Not
Interested Interested Interested
Analog/mixed-signal………… □ □ □
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ATPG………………………... □ □ □
BIST…………………………. □ □ □
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DFM/yield……….……….….. □ □ □
Memory test……………….… □ □ □
Microprocessor test………..… □ □ □
Online test……………………. □ □ □
Post-silicon validation………. □ □ □
Quality/reliability…………… □ □ □
RF test……………………….. □ □ □
Software test……………….… □ □ □
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Other____________________ □ □ □