Hotel Reservation Form
Hotel Reservation Form
Specially discounted guest rooms are being held for SIAM meeting attendees until Wednesday, April 23, 2003. After that date, reservations will depend on availability. Your support in staying at Snowbird helps keep SIAM meeting costs down, which directly affects 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 Applications of Dynamical Systems. 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) Cliff Lodge, Single
Lodge at Snowbird and The Inn, Single/Double $ 106.00 ++ per night (Approximately $116 including tax)
Students (with ID) - Dormitory Rates **First Come, First Served** $ 35.00 ++ per night (Approximately $39 including tax)
All room rates based on availability. Rates are subject to prevailing state and local occupancy taxes, currently 10%.
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 (801-947-8227) this reservation form directly to Snowbird. Questions? E-mail email@example.com. DS03 Home