Preregistration Form (Mandatory Fields = *)

Preregistration deadline: Monday, March 22, 2004
!!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 [email protected] if you do not receive an e-mail confirmation by April 5, 2004. 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 Monday, March 22, 2004.

Please select only one of the registration fees below

Preregistration Deadline: Monday, March 22, 2004.

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.

SDM04 Conference Registration - April 22-24, 2004
Select SDM04 Conference Registration Fee:	Meeting Registration Fee SIAM Member $385 Non-Member $485 **Student $130 * 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.
Please select the events that you plan to attend
Welcome Reception - Thursday, April 22, 2004	I plan to attend I do not plan to attend * I will have Guests
Continental Breakfast - April 22-24, 2004 Check all that apply	Thursday, April 22 Friday, April 23 Saturday, April 24

Conference Registration Fee Includes:

• Daily continental breakfast
• Welcome reception and poster session
• Two coffee breaks daily
• Copy of conference proceedings
• Admission to all tutorial sessions (notes from tutorial sessions available for purchase on site)
• Notes for ONE workshop of your choice (additional workshop notes available for purchase on-site)
• Room set-ups and audio-visual equipment

Workshop Notes

I wish to have a complimentary copy of the notes for:
(check one only; all additional copies available for purchase on site)

Bioinformatics
Clustering High Dimensional Data and its Applications
High Performance and Distributed Mining
Data Mining in Resource Constrained Environments
Link Analysis, Counter-terrorism, and Privacy
Mining Scientific and Enginering Datasets

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

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) 382-9800; fax: (215) 386-7999 e-mail: [email protected]; or mail: Society for Industrial & Applied Mathematics, 3600 University City Science Center, Philadelphia, PA 19104-2688.
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Please submit this information to SIAM