ISAI MEMBERSHIP APPLICATION
Headquarters: Department of Computer Science Texas State University -- 601 University Drive, San Marcos, TX 78666-4616 U.S.A. Telephone +1(512) 245-8050 * 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: 2012___ Other_______
(year) 1. Circle one: Mr./Mrs./Ms./Dr.
2. Name______________________________________________
(first) (mi) (last)
3. Telephone _______(____)___________________
country (area) number
4. FAX _______(____)_____________________
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 _________(____)______________________
country (area) number 13. FAX #_________(____)___________________
country (area) number
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): ____________________________________________________________________________ Dr. Moonis Ali Department of Computer Science Texas State University 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/