Hospitality House Hotel Reservation Form

SIAM Conference on Applied Linear Algebra
July 15-19, 2003

Williamsburg Hospitality House
Group # 4139
415 Richmond Road
Williamsburg, VA 23185
Toll-Free 1-800-932-9192 (US and Canada)
Phone: 757-229-4020 (Worldwide)
Fax: 757-229-0731
http://www.williamsburghosphouse.com

Specially discounted guest rooms are being held for meeting attendees until Tuesday, June 10, 2003. 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 SIAM Meeting. Be sure to get a confirmation number!

Please do not send this form to SIAM.

Name________________________________________________________________________
First Middle Initial Last

Address______________________________________________________________________


City________________________________State________Zip_______ Country_____________


Telephone__________________________FAX___________________


If sharing a room, please list roommates name (s): _____________________________________

Please reserve a:

Single/Double $119.00 USD per night
(Approximately $130.00 USD per night including tax)

All rooms based on availability.
All rates are subject to 9.5% tax.

Please note: This rate will be honored three (3) days prior or three (3) days following the reserved dates, based on availability.

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

Departure Date _____/_____

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

I authorize the Williamsburg Hospitality House to charge my account for one night’s deposit and all applicablee taxes.

Discover Visa Mastercard

Diners Club American Express

Credit Card #_______________________________________Exp. Date ________________


Name as it appears on credit card _______________________________________________


Signature __________________________________________________________________


Please send me a confirmation notice. Yes____No ____

E-mail address or fax number: ___________________________________________


Complete and mail or fax (1-757-229-0731) this reservation form directly to the Hospitality House.

Questions? E-mail meetings@siam.org


4/11/03