ISAI MEMBERSHIP APPLICATION
Headquarters: Department of Computer Science Texas State University-San Marcos -- San Marcos, TX 78666-4616 U.S.A. Telephone +1(512) 245-3409 * FAX +1(512) 245-8750 * E-mail ma04@txstate.edu Please TYPE or PRINT carefully. Reproduction of form is authorized. Return the completed form with payment to above address (Attn: Dr. Moonis Ali). ISAI is a non-profit organization incorporated in the State of Texas, U.S.A.
SECTION A: PERSONAL
_____New Member _____Renewal Membership Year: 2008___ Other_______ (year) 1. Circle one: Mr./Mrs./Ms./Dr.
2. Name______________________________________________ (first) (mi) (last) 3. Telephone _______(____)___________________
4. FAX _______(____)_____________________ country (area) number country (area) number 5. E-mail______________________________________________________ 6. Home Address______________________________________ City_____________________________ State/Province________________________ Code (zip)___________ Country________________ SECTION B: EDUCATION 7. Degree(s)_____________________ Date(s)_______ Course(s) of Study_____________________ Institution(s)_______________________________________________________________________ SECTION C: PROFESSIONAL

8. Title________________________________________________ 9. Company Name_____________________________
10. Dept___________________________________ 11. Company Address______________________________________________________________________ State/Province_________________________ Code (zip)__________ Country________________ 12. Telephone ______(____)______________________
13. FAX #______(____)___________________ 14. E-mail_____________________________________
15. Area(s) of Expertise__________________ 16. Company Activity___________________________ SECTION D: MISCELLANEOUS 17. Preferred Mailing Address: ___home ___business (need full address above) 18. If new, how did you hear about ISAI?________________________________________ 19. Who might be interested in becoming an ISAI member? (show name & address): ____________________________________________________________________________ SECTION E: MEMBERSHIP
20. TYPE OF MEMBERSHIP FEE Benefits include, registration fee discount for $50 IEA/AIE conference and other ISAI sponsored activities. SECTION F: METHOD OF PAYMENT (Required to process membership).
21. Amount due $__________ in U.S. dollars. (Circle option a. or b. below): a. Check No._________ (Enclose check payable to ISAI and drawn on a bank affiliated with the USA) Bank Name & Location_______________________________________________ Authorized signature:________________________________ Date:__________ b. Select one: __VISA __Mastercard __American Express Expiration Date: month____ / year ____ Print name exactly as shown on card:_______________________________ Card number________________________________________________________ Cardholder's signature:_____________________________Date:__________ ********************************************************* Dr. Moonis Ali Department of Computer Science Texas State University-San Marcos 601 University Drive San Marcos, TX 78666-4616 USA FAX: 512-245-8750 EM: ma04@txstate.edu Information is available on the following WWW pages for the Journal, the Society (ISAI), or the June Conference (IEA/AIE): http://isai.cs.txstate.edu Journal:http://www.springer.com/west/home/computer/artificial?SGWID=4-147-70-35530940-detailsPage=journal|description University Hours: 8 a.m.-5 p.m. Central Time, Monday through Friday http://www.maps.txstate.edu/