HOTEL RESERVATION FORM
The Heldrich Hotel
10 Livingston Avenue
New Brunswick, New Jersey 08901
Phone Number: (+) 1-732-729-4670
Toll Free Reservations: (USA and Canada): 866-609-4700
Fax: (+) 1-732-729-4672
Specially discounted guest rooms are being held for meeting attendees through Monday, October 27, 2008. 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 Heldrich Hotel 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 Financial Mathematics and Engineering. Be sure to get a confirmation number!
PLEASE DO NOT SEND THIS FORM TO SIAM.
First Middle Initial Family
Please reserve a:
Single Room $140.00
per night plus 15.0% tax
Double Room $125.00 per night/per person plus 15.0% tax*
* Please note if you are requesting a double room, the rate will be $125.00 per person/per night.
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 ____
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 Heldrich Hotel. Contact information for the hotel appears at the top of this page.
Questions? E-mail firstname.lastname@example.org