SIAM Conference on Mathematical and Computational Issues in the Geosciences (GS03)
March 17-20, 2003
Radisson Hotel and Suites Austin
Austin, Texas

Sponsored by SIAM Activity Group on Geosciences

Preregistration Form (Mandatory Fields = *)

Preregistration deadline: Friday, February 21, 2003

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 [email protected] if you do not receive an e-mail confirmation by March 10, 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 [email protected] 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 preregistration rates, both Preregistration Form and payment must be received at the SIAM office by Friday, February 21, 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:

Please select only one of the registration fees below

Preregistration Deadline: Friday, February 21, 2003.

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

Minisymposium organizers and speakers will also be required to register at the SIAM ON-SITE member rate if they do not preregister.

GS03 Conference Registration - March 17-20, 2003
Select GS03 Conference registration fee:
*
*SIAM Activity Group on Geosciences
**Student registrants will receive a “Student” badge on-site.**
Please select the events that you plan to attend
Welcome Reception - Sunday, March 16, 6-8 PM *
Poster Session and Dessert Reception - Monday, March 17, 7-9 PM
*

Conference Registration Fee Includes:

  • Two Coffee Breaks per day
  • Room set-ups and audio-visual equipment
  • Admission to all Technical Sessions
  • Welcome Reception
  • Poster Session and Dessert Reception
  • Business Meeting

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

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: [email protected]; or mail: Society for Industrial & Applied Mathematics, 3600 University City Science Center, Philadelphia, PA 19104-2688.

Name Badge Information:

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Name (20 Characters):

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Affiliation (20 characters): *

Payment Information: 

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Expiration Date:

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Please submit this information to SIAM

 

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Created: 9/25/02DAR
Edited: 3/11/03DAR