HOTEL RESERVATION FORM

The Palmer House, a Hilton Hotel
17 East Monroe Street
Chicago, Illinois, 60603
USA
Toll Free Reservations (US and Canada):  1-877-865-5320
Direct Hotel Reservation: 1-312-726-7500
Hotel Reservations Fax: 1-312-332-3619
Hotel web address:  http://www3.hilton.com/en/hotels/illinois/palmer-house-a-hilton-hotel-CHIPHHH/index.html
Group online reservations:  https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=10742800

Specially discounted guest rooms are being held for meeting attendees through June 16, 2014After that date, reservations will depend on availability. SIAM negotiates to get the best possible rate for attendees at the host hotel.  Your support in staying at The Palmer House helps keep SIAM conference registration fees 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 2014 SIAM Annual Meeting (AN14).  Be sure to get a confirmation number!

PLEASE DO NOT SEND THIS FORM TO SIAM.
 
Name___________________________________________________________________
            First                                                  Middle Initial                Family 
Address_________________________________________________________________

City________________________________State________Zip_______ Country_____________

Telephone__________________________FAX___________________

Please reserve a:

Single/Double      $199.00 single/$219 double per night plus 15.4% tax
Student rate         $179.00 single/$199 double per night plus 15.4% tax
((Student ID must be presented upon check-in. SIAM is able to negotiate only a limited number of special student rate rooms. Please book early as these rooms sell out quickly!)

All rooms based on availability.
All rates are subject to state and local occupancy taxes.

Arrival date _____/_____        Arrival time _____:_____AM/PM

Departure date _____/_____

A credit card is required to guarantee your room.
I choose to guarantee my room by:

Credit Card #____________________________________Exp. Date ________________

Name as it appears on credit card _______________________________________________

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

Signature __________________________________________________________________

Please send me a confirmation notice.      Yes____No ____   

E-mail address/fax number: ___________________________________________
                                                                                               
ALL RESERVATIONS MUST BE GUARANTEED WITH CREDIT CARD OR DEPOSIT.

Complete and mail or fax this reservation form directly to The Palmer House. Contact information for the hotel appears at the top of this page.

Questions? E-mail [email protected]


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