HOTEL RESERVATION FORM

Hilton Orange County/Costa Mesa
3050 Bristol Street
Costa Mesa, CA 92626
Phone Number: +1-714-540-7000 
Toll Free Reservations:  800-HILTONS  (USA and Canada)
Reservation Fax: +1-714-438-4949
Online Reservations: http://www.hilton.com/en/hi/groups/personalized/snacmhh_cos/index.jhtml
Fax: +1-714-540-9176 
Hilton Orange County/Costa Mesa Web Site

Hotel Reservation Deadline: Friday, January 26, 2007

Specially discounted guest rooms are being held for meeting attendees through Friday, January 26, 2007.  After 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 Hilton Orange County/Costa Mesa 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 SIAM Conference on Computational Science & Engineering.  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
$135.00  per night plus 13% tax and $2.00 occupancy tax

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 Hilton Orange County/Costa Mesa..
Contact information for the hotel appears at the top of this page.

Questions? E-mail meetings@siam.org


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