SODA'97 Preregistration Form


There is a "Submit Registration" button at the bottom of this fill-in form. If you don't see the button, or if any of the check boxes or fill-in blanks do not appear correctly, your Web browsing software is not capable of handling this form. If that is the case, you should register by one of the methods listed in Registration Information.

SIAM will send you confirmation of your electronic registration within 10 working days. If you do not receive confirmation, please contact the SIAM Customer Service Department by telephone at (215) 382-9800 or 800-447-SIAM (toll free, USA only) or by e-mail at sevice@siam.org.


Registration Fees

Preregistration Deadline: Monday, December 23, 1996.

ACM-SIAM Member Non-Member Student
Preregistration (before December 23)$285 $335 $75
Registration (after December 23)$335 $385 $125

Registration fee includes:

  • SODA 97 Proceedings
  • 2 Luncheons
  • Welcoming Reception
  • Coffee and Refreshments
  • Admission to All Technical Sessions

    Option and Rate Selection

    I fall into this category: ACM/SIAM Member Non-member Student

    Luncheons

    My preference is Continental Vegetarian Kosher

    I plan to attend Both lunches - Sunday and Monday
    I plan to attend only Sunday Monday

    Based on the registration fees chart above and the options I chose, my registration fee should be dollars.

    Name, Address, and Phone Information

    Name:
    Organization:
    Department:
    Business Address:
    City: State: Zip:
    Telephone: E-mail:
    Fax:
    Home Address:
    City: State: Zip:

    Please send all SIAM correspondence to the following address:
    Home Address Business Address

    Please update my SIAM records to reflect the above:
    Yes No

    Are you a disabled participant that requires appropriate accommodations?
    Yes No

    Name Badge Information:

    NAME BADGE - I prefer my name and affliation to read as follows:
    Name (20 characters): Affliation (20 characters):

    Payment Information:

    I wish to pay by:

    Credit Card Number: Expiration Date:

    Preregistration Form and payment must be received at the SIAM office by December 23, 1996 to be eligible for preregistration rates

    Now, to submit your registration form to SIAM, press this button:


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    MMD, 10/22/96