EEE Swarm Intelligence Symposium 2006
Hilton Indianapolis, Indianapolis, Indiana, USA 
May 12-14, 2006
http://www.computelligence.org/sis/ 

  	
SIS 2006 Conference Registration Form

Personal Data: (Please print or type)

Name:___________________________________________Title: __________________			   
	      (Last name)			(First Name)
Affiliation: _____________________________________________________________  											   
Address: _______________________________________________________
City: __________________  State: ______________	Country: _________________ 			
Post/Zip Code:  ______________________
Telephone: __________________________
Fax:  ________________________________
E-mail: ___________________________________  				 

Conference Registration Fee1,2,3: (Please check the appropriate boxes.)

	                     Student4	IEEE Member5	Non-IEEE Member
Early Registration
(before March 15, 2006)  [] US$75	[] US$350	    [] US$395
Regular Registration     [] US$95	[] US$375	    [] US$425
 			

NOTES:
1 Full conference registration fee will cover refreshments during session breaks, single admission to the conference reception and banquet, and one copy of the conference proceedings.
2 Conference registration fee must be paid in US Dollars (US$). 
3 Written cancellations received on or before May 10th, 2006 will be liable to a $50 service fee.  There will be no refund after this date.
4 Student registration must be accompanied by a photocopy of the student identity card with a university certification letter. To qualify for this option, the student must be a full-time student and a primary author of a paper presented at the conference.
5 IEEE member registration must be accompanied by a copy of IEEE membership card.
 

Payment Method:
? Online payment (please refer to the conference website http://www.computelligence.org/sis/ )
? Bank Draft or personal check (payable to "IEEE SIS06")

Please send this form by E-mail (sis06@computelligence.org) or by Fax: +1 (317) 453-2130. If the registration fee is paid by Bank Draft or personal check, it should be mailed to: 

	Computelligence LLC
212 W. 10th Street, Suite B-315
Indianapolis, IN 46202, USA