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
□ Computers/business equipment
□ Communication/networking equip.
□ Consumer electronics
□ Electronic design automation
□ Telecommunications provider □ Test creation services
□ Military/aerospace □ IP Provider
□ Test equipment □ Education
□ Other electronic equipment □ Other ________________
□ 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

Content………….. □ □ □ □ □
Ease of Use……… □ □ □ □ □
Appearance……... □ □ □ □ □

7. Please rate your interest in the following ITC topics:

Very Somewhat Not

Interested Interested Interested
Analog/mixed-signal………… □ □ □
ATE………………………….. □ □ □
ATPG………………………... □ □ □
BIST…………………………. □ □ □
Board/system test………..…... □ □ □
Defects/diagnosis………..….. □ □ □
DFT………………………….. □ □ □
DFM/yield……….……….….. □ □ □
Memory test……………….… □ □ □
Microprocessor test………..… □ □ □
Online test……………………. □ □ □
Post-silicon validation………. □ □ □
Quality/reliability…………… □ □ □
RF test……………………….. □ □ □
Software test……………….… □ □ □
Test compression…………… □ □ □
Other____________________ □ □ □