Name _______________________________________________ Company/Univ._______________________________________
■ Home
■ Work
Address ______________________________________________ Dept./MS ____________________________________________
AAAI– 97 / IAAI– 97 Preregistration Application
City _________________________________________________ State __________________________ Zip __________________
Country ___________________________ Daytime Phone & Fax ___________________________________________________
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.
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)
Early Registration Rates
_____________________________
11. Engineering (please specify)
_____________________________
_____________________________
5. Education Obtained
(Circle Highest Obtained)
1. High School
3. MA/MS
5. MBA
7. Ph.D
2. BA/BS
4. MIS
6. JD
Late Registration Rates
Postmarked by May 28
TOTAL
Postmarked by June 25
AAAI Member
Regular Student
Nonmember
Regular Student
AAAI Member
Regular Student
Nonmember
Regular Student
AAAI-97 / IAAI-97
Technical Program
$395
$470
$445
$520
(Nonmember fees include 1-year AAAI membership)
(Nonmember fees include 1-year AAAI membership)
______
Robot Building Lab (see reverse)
$150
$75
$150
$75
$150
$75
$150
$75
______
Tutorial Forum
$170
$75
$225
$105
$200
$100
$255
$130
______
$120
$185
$145
$210
(Circle choices, see brochure for details)
7/27 AM SA1
SA2
SA3*
SA4
Your tutorial forum registration includes admission to four consecutive tutorials and
7/27 PM
SP2
SP3
SP4
the accompanying syllabi.
7/28 AM MA1
MA2
MA3
MA4
*SA3 is a full-day tutorial
7/28 PM
MP2
MP3
MP4
SP1
MP1
AAAI–97 Opening Reception
Spouse, child, or guest @ $20.00 per person
______ No. Persons
AAAI Membership
(total continued from reverse)
______
Journals Subscriptions
(total continued from reverse)
______
Method of Payment (Circle One):
MC
Visa
Amex
Check (payable to AAAI–97 and drawn on a US Bank)
______
Total Enclosed
US Govt. PO
____________
Card Number_____________________________________________________ Exp. Date _______________________
Name (as it appears on card) ________________________________ Signature _______________________________
The refund request deadline is July 7, 1997. A $75.00 processing fee will be assessed for all refunds.
Registrations postmarked after June 25 are subject to on-site rates .
On-site registration will be outside Hall D, second level, Rhode Island Convention Center
One Sabin Street, Providence, Rhode Island 02903-1859.
Send with payment to AAAI-97 / IAAI–97 445 Burgess Drive, Menlo Park, CA 94025-3442. 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 • Conference on Innovative Applications
• Tutorial Program
• Exhibit Program
• KDD Conference
• Technical Program of the National Conference on Artificial Intelligence • 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
■ New Application
Please circle desired term and amount
■ Change of Address
Individual US / Canadian Member
One Year Three Year Five Year
Life
$50
$150
$250
$700
■ Renewal
(Please include your membership number on the reverse side of this form)
■ Include me in the Membership Directory
■ Do not release my name to outside groups
■ I am interested in the following subgroup
■ AI in Medicine
■ AI and the Law
■ AI in Manufacturing
■ AI in Business
Journals (Offer limited to individuals only).
■ Send me the 1997 AI Journal.
I enclose an additional $110.00.
■ Send me the 1997 AI in Medicine Journal.
I enclose an additional $82.
■ Send me the 1997 Machine Learning Journal.
I enclose an additional $170.00.
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 degreebearing 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!
Amount
____________
(Enter here and on reverse)
Life
n/a
Be sure to complete the reverse side of this form, even if
only applying for new or renewed membership.
Note: Journal subscriptions and subgroup fees are in
addition to membership dues.
Life
n/a
Life
n/a
Robot-Building Lab Team Sign-Up
Name _______________________________________________ Team Member Name. _______________________________
Team Member Name ___________________________________ Team Member Name _______________________________
Team Member Name ___________________________________ Team Member Name _______________________________
Telephone ___________________________________________ E-mail ____________________________________________
All team members must register for the robot building laboratory. This form should be mailed with your payment to AAAI.
(Single sign-ups are also welcome!)