Hotel Reservation Form

Hotel Reservation Form
SIAM Conference on Computational Science and Engineering (CSE03)
February 10-13, 2003
Complete and mail this reservation form to reach the hotel, by Wednesday, January 15, 2003.
Additional student rooms available at the Dana Inn (directly across the street from 
the Hyatt Regency):
Hyatt Regency Islandia Hotel & Marina
1441 Quivira Road
San Diego, California 92109
Tel: 1 619 224 1234
Fax: 1 619-221-4887
http://islandia.hyatt.com Specially discounted guest rooms are being held for SIAM meeting attendees until Wednesday, January 15, 2003. After that date, reservations will depend on availability. Your support in staying at the Hyatt Regency Islandia Hotel and Marina helps keep SIAM meeting costs down, which directly affect you as an attendee.
Your reservation is not confirmed until acknowledged in writing by the hotel or verified 
by e-mail or fax. When making reservations by phone, please identify yourself as an attendee 
of the SIAM Conference on Computational Science and Engineering.  Be sure to get a confirmation 
number!

Please do not send this form to SIAM.

Name_______________________________________________________________________
     First                   Middle Initial                       Last

Address______________________________________________________________________

City_______________________________________State________Zip____________________

Telephone_____________________________________________________________________

Fax__________________________________________________________________________

E-mail ________________________________________________________________________


Please reserve a (please circle)


Single/Double: $155.00++ per night
Rates are subject to prevailing state and local occupancy taxes, currently 10.5% ($171.00).

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

Departure Date _____/_____

Guarantee my room for late arrival (after 6:00 PM) ____Yes ____No  
Cancellation policy for non-guaranteed rooms is 24 hours. 

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

VISA             MasterCard              American Express        
Diners Club      Japan Credit Bureau     Discover       Carte Blanche

Credit card no.__________________________________________________________

Exp. Date______/______

Name as it appears on the card: _________________________________________

Signature: ______________________________________________________________

If a credit card is provided, the room is guaranteed for late arrival after 
4:00 PM Eastern Daylight Time.

Please send me a confirmation notice.            Yes _____   No _____   

Your e-mail address ________________________

Complete and mail or fax (619-221-4887) this reservation form directly to the 
Hyatt Regency Islandia Hotel and Marina.

Questions? E-mail meetings@siam.org.

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9/19/02