Hotel Room-Sharing List

SIAM will keep a list of attendees who wish to share a room with another attendee to reduce expenses. If you are interested in finding a roommate, please forward the following information to SIAM. If your Web browser does not support fill-in forms, please forward the information via e-mail to tmp@siam.org or by fax (215-386-7999) to be placed on the list. Make sure you supply us with complete information and mention that you want to be placed on the PP97 list. If information is incomplete, we cannot guarantee that your name will be included. SIAM will provide the listing electronically to all attendees on the list.

It is the responsibility of the attendee to make the contacts and arrangements with attendees on the list.

Full Name:
Address:
Phone: Fax:
E-Mail:
Arrival Date: Departure Date:
Smoker: Yes No
Gender: Male Female

Please submit this information to SIAM.

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MMD, 11/4/96