A. Do you wish to receive (continue to receive) Chip Scale Review? Yes No
Signature (required) ____________________ Date ____________________
In lieu of your signature, please enter the last four digits of your social security number.
Effective March 1, 1999 free subscriptions are available in the U.S. only. Subscriptions outside the U.S. are $80.00 per year.
Complete this form for your free subscription to ChipScale REVIEW
After filling out this form please fax the following page to 408.996.7871, or mail to: Circulation Department Chip Scale Review, 7291 Coronado Drive, Suite 8, San Jose, CA 95129
B. Are you involved in the test and assembly of chip scale packages? Yes No
E. What products do you buy or specify?
G. Please indicate the amount of purchases you authorize, buy, or recommend in a year. Under $50,000 $50,000-250,000 250,000-$1,000,000 $1,000,000+