Hotel Reservation Form

Hotel Reservation Form

SIAM Conference on Mathematical and Computational Issues in the Geosciences (GS03)
March 17-20, 2003
Radisson Hotel and Suites Austin
111 E. Cesar Chavez Street
Austin, Texas 78701
Telephone: (512) 478-9611
Reservations: (800) 333-3333 US
Fax: (512) 473-1502
http://www.radisson.com/austintx/
Specially discounted guest rooms are being held for SIAM meeting attendees until Friday, February 21, 2003. After that date, reservations will depend on availability. Your support in staying at the Radisson Hotel and Suites helps keep SIAM meeting costs down, which directly affect 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, please identify yourself as an attendee of the SIAM Conference 
on Mathematical and Computational Issues in the Geosciences. 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)


Single/Double			$ 139.00++ per night 	(Approximately $160 including tax)
Student (with valid ID) $ 100.00 ++ per night (Approximately $115 including tax)

All room rates based on availability.
Rates are subject to prevailing state and local occupancy taxes, currently 15%.

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 ________________________

ALL RESERVATIONS MUST BE GUARANTEED WITH CREDIT CARD OR DEPOSIT.

Complete and mail or fax (512) 473-1502 this reservation form directly to the 
Radisson Hotel and Suites.

Questions? E-mail meetings@siam.org.

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9/25/02