There is a "Submit Dormitory Reservation" button at the bottom of this fill-in form. If you don't see the button, or if any of the check boxes or fill-in blanks do not appear correctly, your Web browsing software is not capable of handling this form. If that is the case, you should make your registration by one of the methods listed in Dormitory Information.
SIAM will send you confirmation of your electronic dormitory reservation within 10 working days. If you do not receive confirmation, please contact email@example.com or the SIAM Conference Department by telephone at (215) 382-9800, fax: 215-386-7999, by e-mail at firstname.lastname@example.org.
Dormitory rooms are being held for our exclusive use until Wednesday, May 15, 1996. After that date, reservations will depend on availability. To make a reservation, please fill-in this Dormitory Reservation Form and submit it to the SIAM Office. Upon receipt of your reservation, a confirmation will be sent to you.
If you are reserving a double room, you must supply the name of your roommate as SIAM will not randomly choose a roommate for you. Please be sure to fill out the entire form to ensure proper processing of your reservation.
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