Technical Symposium on Reconfigurable Computing with FPGAs

Application Form

Please complete the following form and send electronically.

Alternatively you can print out and fax/post it to us (see our contacts page for further details).

1. Event Choices

Tick here if you will be attending the Workshop on Wednesday 8th Feb

Tick here if you will be attending Day 1 of the Symposium on Thursday 9th Feb

Tick here if you will be attending Day 2 of the Symposium on Friday 10th Feb

2. Personal Details

Title:
First Name:
Surname:
Contact Address:
Postcode/Zip:
Email:
Telephone Number:
Fax Number:

3. Company / Institution Details

Name:
Type:
If "Other" please state:

4. Meals / Refreshments

Do you wish to attend an evening event on Thursday 9th Feb?

Yes No

Do you have any special dietary requirements?

5. Interest in FPGAs

Are you a user of FPGAs?

Yes No

If "Yes" please indicate the nature of use e.g. datamining, bio informatics, scientific (chemistry, electronics, computer science) etc. Could you also indicate the type of FPGA system(s) you have used e.g. Cray XD1

If "No" please indicate your interest in FPGAs

Where did you hear about this event?

6. Any other comments

Tick here if you would not like your name to be included on the delegate list to be handed out at the symposium

Please press the submit button.

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