E-mail address:
Phone #:
Street Address:
Country:
Affiliation:
Postmarked prior to 2/3/2003:       SIAM Member $330.00       Non-SIAM Member $370.00       Student $100.00
Postmarked on or after 2/3/2003:       SIAM Member $370.00       Non-SIAM Member $410.00       Student $100.00
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