Hotel Reservation Form
The sleeping room rate is $75.00 per night plus 10% tax. The room block is from April 11 through April 14, 1999. After that date, reservations will depend on availability. Attendees are responsible for making their own hotel reservations. 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 SIAM Workshop on Integration of CAD/CFD.
Please do not send this form to SIAM.
First Middle Initial Last
Please reserve a (please circle) $75.00 Single
These rates are subject to a 10% tax.
Arrival Date _____/_____ Arrival Time _____:_____AM/PM
Departure Date _____/_____
Guarantee my room for late arrival (after 6:00 PM) Yes No
I choose to pay my deposit for the first night's room rate by (please circle)
Visa MasterCard American Express Check
Credit card no.Exp. Date______/______
Questions? E-mail email@example.com
Maintained by Maryann M. Donaghy, firstname.lastname@example.org
Created: 2/2/99 Updated: 2/12/99