SIAM Conference on Optimization, May 20-22, 2002, Westin Harbour Castle Hotel, Toronto, CA

Preregistration Form

Preregistration deadline: Thursday, April 18, 2002

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.

A written confirmation will be mailed to you within 10-15 working days. If you do not receive it, please contact meetings@siam.org. If the conference has already started, your 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 hunt@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 preregistration rates, both Preregistration Form and payment must be received at the SIAM office by Thursday, April 18, 2002.

Note: To enter Canada, you must provide proof of citizenship. Accepted forms of ID include a birth certificate and photo ID, or a valid passport.

Personal Information

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Please select only one of the registration fees below

Preregistration Deadline: Thursday, April 18, 2002

Short Courses Prior to Optimization Conference (May 19, 2002)
Register me for the following course:
Note: short courses run concurrently

Numerical Optimization - Algorithms and Software
Automatic Differentiation

Select short course registration fee:
(My registration includes the following.)

Optimization Conference - May 20-22, 2002
Select meeting registration fee:
(My registration includes the following.)

*SIAM Activity Group on Optimization
I will attend the
Don Goldfarb Day Dinner
Banquet 7:15 PM-11:00 PM
*Dinner is $55 per person

Yes
No

I will attend the
Welcome Reception
May 20, 2002, 7:15 PM-9:00 PM
Yes
No

To confirm, please type in the dollar amount of the registration rate 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: lyons@siam.org; or mail: Society for Industrial & Applied Mathematics, 3600 University City Science Center, Philadelphia, PA 19104-2688.

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