Pre-registration Form (Mandatory Fields = *)

Pre-registration deadline: Thursday, March 23, 2006 March 30, 2006
**Registration link will be disconnected at 4PM EST.**

All advance registration payments are to be made by credit card, check, or money order. All fees quoted are in US dollars. To take advantage of pre-registration rates, the registration form and payment must be received at the SIAM office by March 23, 2006 March 30, 2006. The online registration form is disconnected at 4:00 PM EST on this date.

SIAM is pleased to offer secure online processing.  To ensure your registration is processed correctly, fill out this form in its entirety, being sure to include credit card number and expiration date. Click the submit button when you are finished!

You may also print and fax this completed form to SIAM at +1-215-386-7999. If paying by check (US dollars on a US bank), please make your check payable to SIAM and mail it along with this completed form to SIAM, Customer Service Department, 3600 University City Science Center, Philadelphia, PA 19104-2688, USA.

For more information on alternative payment methods, refer to How to Order SIAM Products. Any registration received without payment will not be processed. Receipts will be included in the on-site registration packet.

You will receive a personalized registration confirmation via E-mail within two weeks. If you do not receive it by April 6, SIAM has not processed your registration.

Questions or problems? Contact Lillian Hunt at hunt@siam.org.

Personal Information

*First Name:
*Family 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:

Emergency Contact Information

First Name:

Last Name:

Telephone Number (Day) (Evening) )

This person’s relationship to me:

Please select only one of the registration fees below.

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

Please select only one of the registration fees below.             

SDM06 Conference Registration
 
ASA/SIAM Member
Non-Member
Student

Pre-registration (on or before 3/23/06)

$395
$495
$140

*PRE-REGISTERED STUDENTS AND THOSE REGISTERING ON SITE MUST SHOW A CURRENT STUDENT ID UPON CHECKING IN AT THE SIAM 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:

  • Admission to all technical sessions
  • Admission to all tutorial sessions
  • Coffee breaks daily
  • Copy of conference proceedings
  • Daily continental breakfast
  • Room set-ups and audio/visual equipment
  • Welcome Reception and Poster Session

Please Select the Social Events You Will Be Attending
To avoid wasteful preparation of food, we appreciate your help in letting us know which  functions you will attend.  All require your name badge for admission. Tickets are required for events where noted. All tickets are non-refundable after March 23.

Welcome Reception
Thursday, April 20





Continental Breakfast
Check all that apply

Thursday, April 20
Friday, April 21
Saturday, April 22

Workshops*
I plan to attend the following workshop (select one):


Bart Goethals and Hoony Park

Chris Bailey-Kellog and Naren Ramakrishnan
Feature Selection for Data Mining
Huan Liu Robert Stine and Leonardo Auslender
Text Mining 2006
Michael Berry, UTK/CS and Malu Castellanos, HP Laboratories
Link Analysis, Counterterrorism and Security
Ankur Teredesai and Kathleen Carley
Scientific Data Mining
Chandrika Kamath and Michael Burl
Biomedical Informatics (invited workshop)
Vipin Kumar, AHPCRC, University of Minnesota

Registering as:*

ASA/SIAM Member $395

LLNL Employee $395

Conference Presenter $395 (DOES NOT INCLUDE POSTER PRESENTORS)

Student $140

Non-Member $495

If you've made any mistakes so far will reset the entire page!

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 fee(s) you selected.
My total 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) 382-9800; 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):

*
Affiliation (20 characters): *

Payment Information: 

I wish to pay by:

American Express Visa *  Master Card
Name as it appears on Credit Card: *
Credit Card Number: *

Expiration Date:

*

Please submit this information to SIAM

 


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