2001 SIAM Annual Meeting and
Fifth SIAM Conference on Control and Its Applications

Preregistration Form

Preregistration Deadline: June 7, 2001

If you are using Netscape 4.0+ and have JavaScript enabled, you can use our enhanced membership application, which uses JavaScript to provide a total for your membership selections.

If you do not wish to use this on-line form and would like a printed copy, please contact meetings@siam.org.

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 meetings@siam.org for assistance.

Contact Information

Please check if applicable. I am a speaker/participating:
Minisymposium Contributed Session Poster Session
Business Address:
Home Address:
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
Are you retired? Yes No

Select Registration Fees
One-Day Short Courses - (July 8)
Which breakout session will you attend for the short course on mathematical software?

Half-Day Short Course: Flow Control Optimization (July 10)
Half-Day Short Course: Shapes and Geometries (July 10)

Annual Meeting (July 9-13) & Control Conference (July 11-14) Fees

To confirm, please type in the dollar amount of the registration fees you selected above. My registration fee is dollars.

Please select the Get-Togethers and Special Events you will be attending

Note: Admission to all events requires your name badge and admission tickets

Sunday, July 8
Annual Meeting Welcome Reception
Monday, July 9
Graduate Student Networking Reception
Industry Member Networking Reception
Wednesday, July 11
Community Reception
Control Conference Welcome Reception
Student Diversity Day
Thursday, July 12
Annual Town Meeting & Breakfast
Joint Poster Session & Reception
Friday, July 13
SIAM Activity Group on Control & Systems Theory Business Meeting

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):

Affiliation (20 characters):

Payment Information: 

I wish to pay by:

American Express Visa Master Card
Card Holder Name:
(if different from registrant)
Credit Card Number:

Expiration Date:

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 take advantage of preregistration rates, both Preregistration Form and payment must be received at the SIAM office by June 7, 2001.

Please submit this information to SIAM

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