The Society for the Study of Artificial Intelligence and the Stimulation of Behaviour

Annual Convention 2004

University of Leeds, LS2 9JT, UK 29 March – 1 April 2004

AISB’04 Registration Form

Please complete this form and return with payment in full by 18 March 2004 to qualify for early registration

One form per person – duplicate if necessary

Surname ………..……………………….………………………………….Title ……………………….……

Forenames ……………….…………………………………………………...………………………………...

Institution / Company ………………...…………………………….………..………………………………...

Correspondence address ………………………...…………………………..…………………….…………...

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Telephone …………………………...………………… Fax ....……………..………….………………..

Email …………………………………………...…………………………………………...……………...

Name for badge ……………………………………………………………………………………………….

SPECIAL REQUIREMENTS

Special dietary requirements …..………………..…………….………………………………………………

Other special requests ………………………………………………………………………………….……...

OTHER REQUIREMENTS (ü)

Are you presenting a paper at the Conference? (Please tick one box) / Yes / No

If yes, please state audio-visual aids required and the symposium ….………………………………………..

AISB MEMBERSHIP (ü)

If you’re not already a member, then consider joining SSAISB as there are many benefits including cheaper registration fees for AISB’04. If you would like to join, please tick as appropriate:

I would like to join SSAISB at £15/£18/£30 (I am currently a student in UK/Europe/World)
I would like to join SSAISB at £30 (I live in the UK)
I would like to join SSAISB at £33 (I live in Europe)
I would like to join SSAISB at £45 (I live outside Europe)

Students – please include photocopy of your student card.


REGISTRATION FEES (All figures £)

Note that the registration fees include lunches for the day(s) of the event(s) registered.

Late Registration fees will apply after 18 March 2003.

AISB Member / AISB Non-member ***
Student / Non-student / Student / Non-student
Early / Late / (ü) / Early / Late / (ü) / Early / Late / (ü) / Early / Late / (ü)
1 Day * event only / 60 / 85 / 100 / 135 / 80 / 110 / 150 / 185
2 Day * event only / 80 / 100 / 135 / 170 / 100 / 125 / 185 / 220
Full ** Convention / 130 / 145 / 185 / 220 / 150 / 170 / 235 / 270

Notes

* Includes the proceedings of one symposium.

** Includes the proceedings of two symposia.

*** Non-members can pay lower fees by joining AISB when registering.

Registration fees cover lunches, coffees/teas, receptions, administration, and meeting facility hire etc.

SYMPOSIA AND PROCEEDINGS

Full convention registration entitles you to up to two proceedings. Additional proceedings can be ordered/purchased at the Convention subject to availability. See http://www.leeds.ac.uk/aisb/addproc.htm

Symposia / Please specify below the symposium you wish to attend (ü)
Fourth Symposium on Adaptive Agents and Multi-Agent Systems (AAMAS-4),
2 Days
Symposium on Emotion, Cognition, and Affective Computing,
1 Day
COST287-ConGAS Symposium on Gesture Interfaces for Multimedia Systems (GIMS),
1 Day
Symposium on Immune System and Cognition (ImmCog-2004),
2 Days
Symposium on Language, Speech and Gesture for Expressive Characters,
2 Days
Eleventh Workshop on Automated Reasoning
2 Days

TOTAL OWING

SSAISB Membership / £
Registration fees / £
Total Owing / £


PAYMENT DETAILS

Please use the this form to make payment for the convention

1 Full payment must accompany each application

2 Bookings accompanied by incorrect payment will not be confirmed until full / correct payment has been received

3 Telephone or email bookings will not be accepted

4 Cancellations and Refunds: This booking constitutes a legally binding agreement. Any cancellations should be made in writing to the organiser. A 50% refund is available for cancellations made before 15 March 2003. No refunds are possible from 15 March 2004.

5 All payments should be made in Pounds Sterling (£) to the University of Leeds

6 Credit card details (ü)

Card Type : Mastercard 

VISA 

Amount to debit £ ….………….……….

Card Number:

Security Number:

(last 3 digits number printed on the signature panel on the back of the card):

Expiry date: ….….……. / ….……….. (month/year)

Name of Cardholder (as it appears on the card): ………………………………………………...….

Address of Cardholder (if different from above): ……………………………………………………

Signature: ……………………………………………………….. Date: ……………………………

Please complete and return this form (3 pages) to:

Dr Kia Ng, ICSRiM, School of Computing, University of Leeds, Leeds LS2 9JT, UK

FAX: 0113 343 5468 (UK) FAX: +44 113 343 5468 (International)

This form must be returned by fax.

AISB 2004 Registration Form, p.3/3