Hotel Reservation Form

First Joint Meeting of CAIMS and SIAM
24th Annual Meeting of CAIMS/SCMAI
2003 SIAM Annual Meeting

Fairmont The Queen Elizabeth, Montreal, QC, Canada
June 16-20, 2003

Fairmont The Queen Elizabeth
900 Rene Levesque Boulevard West
Montreal QC H3B 4A5
Canada
Direct Telephone: (514) 861-3511
Fax: (514) 954-2296
Reservations: 1 (800) 441-1414
http://www.fairmont.com/
Click *HERE* for Reservations

Note: A passport is *highly recommended* for U.S. visitors entering Canada. U.S. citizens should have their birth certificate or citizenship certificate as well as a picture ID; permanent residents (who are not citizens) need their alien-registration card and passport. Citizens from all countries other than the U.S. must have a valid passport, and in some cases a visitor visa may be required.

Specially discounted guest rooms are being held for meeting attendees until Thursday, May 15, 2003. After that date, reservations will depend on availability. Your support in staying at Fairmont The Queen Elizabeth helps keep SIAM meeting costs down, which directly affects you as an attendee.

Your reservation is not confirmed until acknowledged in writing by the hotel or verified by phone. When making reservations by phone, be sure to identify yourself as an attendee of the CAIMS/SIAM Meeting. Be sure to get a confirmation number!

Please do not send this form to SIAM.

Name________________________________________________________________________
First Middle Initial Last

Address______________________________________________________________________


City________________________________State________Zip_______ Country_____________


Telephone__________________________FAX___________________


Please reserve a:

Single/Double $218.00 CAD = Approximately $145.00 USD per night
(Approximately $165 USD per night including tax)

All rooms based on availability.
All rates are subject to 7% Federal Tax, 7% Provincial tax as well as a $2.00 CAD per room/per night City Tax.


Please indicate your preferences:

Single Bed Double Beds
Smoking Non-Smoking

Arrival Date _____/_____ Arrival Time _____:_____AM/PM

Departure Date _____/_____

Guarantee my room for late arrival (after 6:00 PM) ____Yes ____No

Credit card #____________________________Exp. Date_______________________


I choose to pay my deposit for the first night's room rate by (please circle):

VISA MasterCard American Express
Discover Diners Club  

Credit Card #_______________________________________Exp. Date ________________


Name as it appears on credit card _______________________________________________


Signature __________________________________________________________________


Please send me a confirmation notice. Yes____No ____

E-mail address/fax number: ___________________________________________


Complete and mail or fax (514-954-2296) this reservation form directly to the Fairmont Queen Elizabeth.

Questions? E-mail [email protected]


Created 8/20/02
Edited 4/2/03