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, 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 SIAM Products.
An e-mail confirmation
will be mailed to you within 10-15 working days. If you do not receive it,
please contact email@example.com.
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
Saturday, September 14, 2002.
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
or mail: Society for Industrial & Applied Mathematics, 3600 University
City Science Center, Philadelphia, PA 19104-2688.
I wish to pay by:
Created: 4/23/02 DAR