HOTEL RESERVATION FORM
Atlantica Hotel Halifax
1980 Robie Street
Halifax, Nova Scotia, Canada B3H 2G5
Direct Telephone: +1+902-423-1161
Toll Free: +1+888-810-7288
Specially discounted guest rooms are being held for meeting attendees through May 7, 2012. After that date, reservations will depend on availability. SIAM negotiates to get the best possible rate for attendees at the host hotel.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 Discrete Mathematics. Be sure to get a confirmation number!
PLEASE DO NOT SEND THIS FORM TO SIAM.
First Middle Initial Family
Please reserve a:
Single/Double $132.00 CAD per night plus 2% Marketing Levy & 15% HST Tax
All rooms based on availability.
All rates are subject to state and local occupancy taxes.
*Additional fees of $20.00 per person apply to triple and quad occupancy.
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 ____
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 Atlantica Hotel Halifax. Contact information for the hotel appears at the top of this page.
Questions? E-mail firstname.lastname@example.org