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.
Note: A passport is *highly recommended* for U.S.
visitors entering Canada. U.S. citizens should have their birth
certificate or citizenship certificate as well as a picture ID;
permanent residents (who are not citizens) need their alien-registration
card and passport. Citizens from all countries other than the U.S.
must have a valid passport, and in some cases a visitor visa may
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.
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@example.com
if you do not receive an e-mail confirmation by May 29, 2003.
Your printed receipt will be included in your registration packet
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
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, a $60.00 savings, both
Preregistration Form and payment must be received at the SIAM office
by Thursday, May 15, 2003.
(For Statistical Purposes only)
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
**Student registrants will receive a Student
Please select the Get-Together events that you will
To avoid wasteful preparation of food, we appreciate your
help in letting us know which meal functions you will attend.
All events are included in your registration fee unless
you wish to bring a guest to the Awards Luncheon. All events,
regardless of fee, require your name badge for admission.
Tickets are required for noted events. All tickets are non-refundable
after May 15.
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:
firstname.lastname@example.org; or mail: Society for Industrial
& Applied Mathematics, 3600 University City Science Center,
Philadelphia, PA 19104-2688.
(20 characters max):
wish to pay by: