The 2003 IEEE International Conference on Data Mining

Sponsored by the IEEE Computer Society

Holiday Inn Oceanfront, Melbourne, Florida, USA
November 19 - 22, 2003

ICDM 2003 Registration Form

Please check (X) each of the relevant items below.

(1) Conference Registration Fee:

                 Before 17 October 2003     After 17 October 2003
--------------------------------------------------------------
IEEE (or IEEE CS) members*  US$420 (  )      US$510 (  )
Non-members                 US$540 (  )      US$650 (  )
Full-time Students          US$200 (  )      US$250 (  )

* IEEE Member Number: ______________________

  IEEE TCCI members and those IEEE members who sign up for TCCI at the
  time of registration will receive a discount of $25.

  Are you a TCCI member or would like to join the TCCI?
    (   ) Yes;  (   ) No

Full-Time Student Only:

      Advisor Name: ________________________________

    Advisor E-mail: ________________________________
The conference dinner is included in regular registrations only. 
        ________ Yes, I would like to attend the dinner.

                 Food constraints: (  ) Vegetarian; (  ) Sugar Free
                                   (  ) Other: ____________________

        ________ No, I do not wish to attend.

US$50 for student registration or for an additional ticket:

        ________ tickets are needed; cost: US$________

US$60 for an additional copy of the conference proceedings:

         ________ copies are needed; cost: US$________

(2) Tutorial Registration Fee:

                   Before 17 October 2003     After 17 October 2003
----------------------------------------------------------------
Full Day
  IEEE (or IEEE CS) members   US$150 (  )      US$240 (  )
  Non-members                 US$200 (  )      US$320 (  )
Half Day
  IEEE (or IEEE CS) members   US$100 (  )      US$150 (  )
  Non-members                 US$130 (  )      US$200 (  )

Tutorial(s) to attend:

    Morning Session: #_____ 
 
    Afternoon Session: #______
Note: There are no student rates for tutorials.

(3) Workshop Registration Fee:

                 Before 17 October 2003     After 17 October 2003
--------------------------------------------------------------
IEEE (or IEEE CS) members   US$130 (  )        US$180 (  )
Non-members                 US$180 (  )        US$225 (  )
Full-time Students          US$90  (  )        US$90  (  )

Workshop to attend: #_____

(4) Subscription to the Knowledge and Information Systems Journal:

Volume 6 (2004, 4 Issues)

   Personal Rate:
        IEEE (or IEEE CS) Members
             and ALL ICDM 2003 Registrants: US$110.25 (  )
Note: There are no student rates for the journal subscription.

Registrant Details

Title: ______ First Name: ______________ Surname: _________________

Company: __________________________________________________________

Address 1: ________________________________________________________

Address 2: ________________________________________________________

City: _________________ State/Province: ___________________________

Post/Zip Code: _________________

Country: __________________________________________________________

Phone: ___________________________ Fax: ___________________________

Email: ____________________________________________________________

 
                                Conference Fee: ___________________
 
                                  Tutorial Fee: ___________________
  
                                  Workshop Fee: ___________________

       Student/extra conference dinner tickets: ___________________

    Extra copies of the conference proceedings: ___________________

Knowledge and Information Systems Subscription: ___________________


                    TCCI member discount ($25): ___________________

     Both Conference AND workshop registration
                                discount ($50): ___________________


                              Total Payment: US$___________________

Payment

(1) Pay by check (cheque) or international money order: Checks and international money orders should be made payable to "ICDM 2003".

(2) Pay by credit card: 

Select one:  ___ VISA   ___ Mastercard  ____ American Express 

             ___ Diner's Club
              
Expiration Date: _________________

Name (exactly as shown on card): _________________________________

Card Number: _____________________________________________________

Zip Code (required for Visa and Mastercard only): ________________


Cardholder's signature: _________________________ Date: __________
Please return this registration form and check or credit card information to the following address:

Professor Xindong Wu, ICDM 2003,
Department of Computer Science,
University of Vermont,
351 Votey Building,
Burlington, Vermont 05405, USA.
Fax: +1-802-656-0696
E-mail: xwu@cs.uvm.edu