SIAM is pleased
to offer secure ordering. If you are uncomfortable sending credit card information
over the Internet via a secure socket connection, please print this order form,
fill it out, and fax it to SIAM at (215) 386-7999. If paying by check (US dollars
on a US bank), please make your check payable to SIAM and mail it with this
filled-in form to SIAM, 3600 University City Science Center, Philadelphia, PA
19104-2688. For more information on alternative payment methods, please refer
to How to Order
An e-mail confirmation
will be mailed to you within 10-15 working days. If you do not receive it, please
Your printed receipt will be included in your registration packet on-site.
To ensure that
your registration is processed correctly, please fill in the following form
as accurately as possible. Make sure you include your credit card number and
expiration date. Registrations received without payment will not be processed.
Remember to push
the submit button when you're finished! A pop-up message should appear saying
"Thank you for filling in the form. Your response has been received by
our server. Thank you for using the SIAM Web Server." If you do not see
this pop-up message, please contact firstname.lastname@example.org
registration payments are to be made by credit card, check, or money order.
All fees quoted are in U.S. dollars. To take advantage of preregistration
rates, both Preregistration Form and payment must be received at the SIAM
office by Friday, December 20, 2002.
(For Statistical Purposes only)
Symposium on Discrete Algorithms- January 12-14,
SIAM wishes to take steps to ensure that no individual with a disability
is excluded, denied services, segregated or otherwise treated differently
than other individuals because of the absence of auxiliary aids and
services. If you need any auxiliary aids or services identified in the
Americans with Disabilities Act, or assistance in registering for this
conference/meeting, please contact Coley Lyons by phone: (215) 392-9800;
fax: (215) 386-7999 e-mail: email@example.com;
or mail: Society for Industrial & Applied Mathematics, 3600
University City Science Center, Philadelphia, PA 19104-2688.
I wish to pay by: