Pre-registration Form (Mandatory Fields = *)
ANALCO, ALENEX, and ACM-SIAM Symposium on Discrete Algorithms (SODA04)
January 10-13, 2004

Astor Crowne Plaza Hotel
739 Canal Street at Bourbon
New Orleans, LA 70130
Telephone: 1-504-962-0500
Reservations: 1-888-487-9644 (US and Canada)
Reservation Fax: 1-504-962-0554
http://www.astorcrowneplaza.com/

Pre-registration deadline: Monday, December 15, 2003
**Registration link will be disconnected at 4PM EST.**

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 SENT TO YOU WITHIN 10-15 WORKING DAYS. If you do not receive it, SIAM has not processed your registration. Please contact meetings@siam.org if you do not receive an e-mail confirmation by December 29, 2003. 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." This is not your registration confirmation. If you do not see this pop-up message, please contact meetings@siam.org for assistance.

All advance 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 pre-registration rates, an $80.00 savings, both Pre-registration Form and payment must be received at the SIAM office by Monday, December 15, 2003.

Personal Information

*Name:

*Male or Female:
(For Statistical Purposes only)

*Speaker Information:
*Organization Name:
*Organization Type:
Department:
*Address:
*City:
State:
*Zip:
*Country:
*E-mail:
Telephone:
Fax:

Student Verification

In order to qualify for the Student Rate, students must list the name, affiliation, and e-mail address of one professor who can verify your student status.

I am a
Professor Name:
Affiliation:
Professor E-mail:

Please select only one of the registration fees below

Pre-registration Deadline: Monday, December 15, 2003.

All advance registration payments are to be made by credit card, check, or money order. All fees quoted are in U.S. dollars.

Saturday, January 10, 2004

ALENEX Workshop Registration - Partially funded by Microsoft

Workshop Registration Fees
ACM/SIAM Member
Non-Member
Student
Pre-registration (on or before 12/15/03)
$95
$155
$35

On-Site Registration (After 12/15/03)

$140
$200
$80

ALENEX Registration (Please select an option)

($95)
($155)
($35)

ANALCO Workshop Registration

Workshop Registration Fees
ACM/SIAM Member
Non-Member
Student
Pre-registration (on or before 12/15/03)
$110
$170
$50

On-Site Registration (After 12/15/03)

$155
$215
$95

ANALCO Registration (Please select an option)

($110)
($170)
($50)

Workshop Registration Fee Includes:

  • Admission to technical sessions
  • Coffee breaks
  • Room set-ups and audio-visual equipment
  • Continental breakfast
  • Copy of ALENEX/ANALCO proceedings (will be mailed to attendees after conclusion of workshop)

SODA04 Conference Registration - January 11-13, 2004

Conference Registration Fees
ACM/SIAM Member
Non-Member
*Student
Pre-registration (on or before 12/15/03)
$345
$435
$150

On-Site Registration (After 12/15/03)

$425
$515
$150

SODA04 Conference Registration (Please select an option)




*BOTH ON-SITE AND PRE-REGISTERED STUDENTS MUST BE PREPARED TO SHOW A CURRENT STUDENT ID UPON CHECKING IN AT REGISTRATION DESK.
Student registration is available for undergraduate and graduate students ONLY. The student rate is not available to post-doctorates.

Conference Registration Fee Includes:

  • Welcome Reception, Saturday, January 10
  • Luncheon on Sunday, January 11
  • Business Meeting, Monday, January 12
  • Continental breakfast daily
  • Coffee breaks daily
  • Admission to all technical sessions
  • Room set-ups and audio-visual equipment
  • Copy of SODA proceedings

Please Select the Get-Together Events You Will Be Attending

To avoid wasteful preparation of food, we appreciate your help in letting us know which meal functions you will attend.
All require your name badge for admission. Tickets are required only for events where noted. All tickets are non-refundable after December 15, 2003.

Please indicate if you will be bringing any guests.

Welcome Reception (open to workshop and SODA04 attendees)
Saturday, January 10, 2004, 6:00PM - 8:00PM





ACM-SIAM Luncheon (SODA04 attendees only)
Sunday, January 11, 2004, 12:30PM - 2:00PM




Continental Breakfast (check all that apply)

Saturday, January 10 (workshop attendees)
Sunday, January 11 (SODA04 attendees)
Monday, January 12 (SODA04 attendees)
Tuesday, January 13 (SODA04 attendees)

It is SIAM policy that all speakers pre-register. Speakers who do not pre-register will be required to register on-site at the higher rate.

To confirm, please type in the TOTAL dollar amount of the registration rate(s) you selected.
My registration fee is $ dollars.
*

It is SIAM policy that all speakers pre-register. Speakers who do not pre-register will be required to register on-site at the higher rate.

Send all SIAM correspondence to: Home Business
Update my SIAM records to reflect the above: Yes No
Are you disabled and require appropriate accommodations? Yes No

Handicap Symbol 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: lyons@siam.org; or mail: Society for Industrial & Applied Mathematics, 3600 University City Science Center, Philadelphia, PA 19104-2688.

Name Badge Information:

I prefer my name and affiliation to read as follows:

Name (20 Characters):

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Affiliation (20 characters): *

Payment Information: 

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Name as it appears on Credit Card: *
Credit Card Number: *

Expiration Date:

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Please submit this information to SIAM

 

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10/06/03