SIGKDD Membership Form
      http://www.acm.org/sigs/sigkdd/membershipform.txt

   Fax to "ACM Membership Request" at fax# (212)944-1318

Membership Type:

  __ SIGKDD (ACM Member) ................................. $25
  __ SIGKDD (ACM Student Member) ......................... $15
  __ SIGKDD (Non-ACM Member) ............................. $25
  __ ACM (Professional Member $99) & SIGKDD ($22) ....... $124
  __ ACM (Student Member $19) & SIGKDD ($15) ............. $34


Personal Information:

Name __________________________________________
          
ACM Member # __________________________________
          
Mailing Address _______________________________
          
_______________________________________________
          
City/State/Province ___________________________
          
Country/Zip/Postal Code _______________________
          
Email _________________________________________
          
Phone _________________________________________
          
Fax ___________________________________________


Send me:

  __ Information about ACM and SIG membership
  __ Local Activities Guide
  __ An ACM Publications and Services Catalog


Credit Card:

  __ AMEX
  __ Visa
  __ MasterCard

Credit Card # __________________________________

Exp. Date ______________________________________
          
Signature ______________________________________