Name _______________________________________________ Company/Univ. _______________________________________ n Home n Work Address ______________________________________________ Dept./MS ____________________________________________ City _________________________________________________ State __________________________ Zip __________________ Country ___________________________ Daytime Phone & Fax ____________________________________________________ AAAI– 96 / IAAI– 96 / KDD–96 Onsite Registration Membership No. _____________________ E-mail Address _________________________________________________________ I. Your Occupation (Circle One) 1. Student 2. Graduate Student 3. Staff Scientist 4. Research Scientist 5. Engineer 6. Programmer/Analyst 7. Management 8. Consultant 9. Systems Analyst 10. Administrator 11. Project leader 12. University/College educator 13. Other (please specify) 2. Your Organization (Circle One) 1. Manufacturer of computer hardware 2. Manufacturer or publisher of computer software 3. Research, education or consulting 4. Banking, finance or insurance 5. Transportation or communications 6. Government 7. Data processing services, time sharing software 8. Other (please specify) _________________________ _____________________________ Circle courses and fees that apply. Students must submit registration receipt or letter from faculty advisor. Technical Program 3. Employees at Your Work Site (Circle One) 1. 25 or less 2. 26 to 100 3. 101 to 500 4. 501 to 1000 5. Over 1000 10. Computer Science (please specify) 4. Your Area of Expertise (Circle One) 1. Artificial Intelligence 2. Robotics 3. Linguistics 4. Psychology 5. Philosophy 6. Sociology 7. Management 8. Accounting 9. Mathematics 12..Other (please specify) _____________________________ 11. Engineering (please specify) _____________________________ _____________________________ 5. Education Obtained (Circle Highest Obtained) 1. High School 3. MA/MS 5. MBA 7. Ph.D Onsite Registration Rates 2. BA/BS 4. MIS 6. JD TOTAL AAAI Member Regular Student Nonmember Regular Student $495 $550 $170 $215 ______ (Includes both IAAI–96 and AAAI–96) KDD–96 Conference $295 $135 $355 $165 ______ Tutorial Forum $210 $125 $280 $155 ______ ______@ $15. ______ (Circle choices, see brochure for details) Your tutorial forum registration includes one tutorial syllabi. 8/4 AM SA1 SA2 SA3 8/4 PM SP1 SP2 SP3 SP4 8/5 AM MA1 MA2 MA3 MA4 8/5 PM MP1 MP2 MP3 MP4 Please enter your choice here __________ Additional Tutorial Syllabi ($15.00 each, enter choices): ______ @$15. ______ @ $15. AAAI–96 Opening Reception Spouse, child, or guest @ $20.00 per person AAAI Membership (Membership & special journals rate continued from reverse) KDD Banquet $55.00 per person ______ No. Persons ______ Extra KDD Proceedings $44.00 each (includes 20% conference discount) ______ No. Books ______ Exhibits Only $10.00 each ______ No. Persons ______ AAAI Polo Shirt $20.00 each ______ No. Shirts ______ ______ No. Persons ______ ______ Method of Payment (Circle One): MC Visa Amex Check (payable to AAAI–96 and drawn on a US Bank) Check or PO Number ______________________________________________ US Govt. PO August _____________, 1996. Net Amount Received _____________________________________ Registrar _______________________________ Total Enclosed ____________ ALL FEES ARE NONREFUNDABLE Bring this form to the Registration Counter AAAI-96 / IAAI–96 / KDD–96 • 445 Burgess Drive, Menlo Park, CA 94025-3496. 415 / 328-3123; Fax 415 / 321-4457 AAAI Membership Application / Renewal Now it’s even easier to become a member of the AAAI. Just fill out and mail both sides of this form, and we’ll ensure that you receive all the benefits that thousands of members worldwide enjoy each year. Here are just a few of the benefits you’ll receive: • AAAI Membership Directory • AI Magazine • Reduced rates on selected AI-related journals and publications Information about all of AAAI’s events and programs, including: • Spring and Fall Symposium Series • AAAI Press Publications • Tutorial Program • Exhibit Program • Technical Program of the National Conference on Artificial Intelligence • Conference on Innovative Applications • KDD Conference • AAAI–Sponsored Workshops Take the initiative to join the association that will keep you informed about the latest developments in your exciting field. Renew your membership or become a member of the AAAI today. Application Type Membership Categories Please circle desired term and amount n New Application n Change of Address n Renewal (Please include your membership number on the reverse side of this form) n Include me in the Membership Directory n Do not release my name to outside groups n I am interested in the following subgroup (Enclose an additional $10.00 fee per subgroup) n AI in Medicine n AI in Manufacturing n AI and the Law n AI in Business Journals (Offer limited to individuals only). n Send me the 1996 AI Journal. I enclose an additional $110.00. n Send me the 1996 AI in Medicine Journal. I enclose an additional $55. n Send me the 1996 Machine Learning Journal. I enclose an additional $160.00. Individual US / Canadian Member One Year Three Year Five Year $50 $150 $250 Life $700 Individual Foreign Member One Year Three Year Five Year $75 $225 $375 Life $1000 Institution / Library—US / Canadian One Year Three Year Five Year Life $75 $225 $375 n/a Institution / Library—Foreign One Year Three Year Five Year $100 $300 $500 Full-Time US/Canadian Student One Year Three Year Five Year $20 n/a n/a Full-Time Foreign Student One Year Three Year Five Year $45 n/a n/a Order cannot be processed if information is incomplete or illegible. Student applicants must send legible proof of student status, i.e., a letter from your faculty advisor verifying full-time enrollment in a degree-bearing program, or a copy of your current registration receipt. Prepayment is required for all orders. Memberships begin with the next published issue of AI Magazine. Be sure to enter your complete name and address on the reverse side of this form! 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