57th Electronic Components Technology Conference

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					      57th Electronic Components & Technology
                  Conference (ECTC)
                                     Proceedings Order Form
                      Please complete this form and fax or mail to:
         57th ECTC Proceedings, c/o ECA, 2500 Wilson Blvd., Arlington, VA 22201
                                 FAX: +1 703 875 8908
Name ________________________________________________________________________
               (FIRST)                             (LAST)                                              (M.I.)

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Proceedings
□ Printed Proceedings with CD – U.S.          $300                                    Total Cost:
□ Printed Proceedings with CD - Foreign       $350
                                                                    $_________________________


Payment Information      (Payment must be in U.S. dollars, by check on a U.S. Bank or by American Express, MasterCard or VISA)

□ American Express □ MasterCard            □ VISA       □ Cash       □ Check (Make all checks payable to 57th ECTC)
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If you have any questions about your order, please call +1 703 907 8024.