| Last Name | First Name |
| Job Title |
| Company |
| Mail Address | Mail Stop |
| City | State/Providence | Postal Code | Country |
| [ ] Advance Registration Fee [ ] Registration fee after October 1st [ ] Group Discount - 10%, 3 or more |
$2100.00 ___________ $2200.00 ___________ ___________ Total ____________ |
BOOK ORDERS -
| # Copies | U.S. Dollars | Sub-Total | |
| __________ __________ __________ |
Semiconductor Technology Handbook Accelerated Life Testing Handbook CLR Passive Components Handbook |
$275.00 $190.00 $140.00 |
___________ ___________ ___________ |
| Alabama orders must add sales tax to book price | ___________ | ||
| [ ] Surface Shipment - U.S. [ ] Air Shipment - U.S. & Canada [ ] Air Shipment - Outside U.S. * Or provide FedEx Acct. No. ___________________________ |
$ 10.00 $ 40.00 $ 85.00 Total |
___________ ___________ ___________ ___________ |
PAYMENT TERMS
Prepayment is required on Handbooks. Payment must be made by credit card, check, or bank transfer to the account of Component Technology Institute. Please contact CTI for transfer information. All checks and transfers must be free of bank charges.
Payment by [ ] Check [ ] Bank Transfer [ ] American Express [ ] MasterCard [ ] Visa
Account No.: ________________________________________________ Expiration:__________
Cardholder’s Signature: ___________________________________________________________
Print Cardholder’s Name: _________________________________________________________