Hotel Reservation Form

Complete and mail this reservation form to the hotel.  It must arrive on or before Monday, May 21, 2001.

Reservations
June 11-14, 2001
Millennium Hotel Boulder
1345 Twenty-Eighth Street
Boulder, Colorado, 80302-6899
303-443-3850 Phone
303-443-1480 Fax
http://www.millennium-hotels.com/boulder/  

Specially discounted guest rooms are being held for SIAM meeting attendees until Monday, May 21, 2001.   After that date, 
reservations will depend on availability. 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 Sixth SIAM Conference on 
Mathematical and Computational Issues in the Geosciences. Be sure to request 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: $125.00
Double:   $135.00
Rates are subject to prevailing state and local taxes @ 9.7%

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

Departure Date _____/_____

Guarantee my room for late arrival (after 6:00 PM) ____Yes ____No  

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

VISA        MasterCard         American Express         Check 

Credit card no.__________________________________________________________

Exp. Date______/______

Please send me a confirmation notice.            Yes _____   No _____   

Your e-mail address _______________

Complete and mail or fax this reservation form directly to the Millennium Hotel Boulder.

Questions? E-mail [email protected].

SIAM wishes to take steps to ensure that no individual with a disability is excluded, denied services, segregated or 
otherwise treated differently than other individuals because of the absence of auxiliary aids and services. If you need any 
auxiliary aids or services identified in the Americans with Disabilities Act, or assistance in registering for this conference/meeting, 
please notify the hotel when making reservations.