Hotel Reservation Form

Complete and mail this reservation form to the hotel.  It must arrive on or before 
Friday, October 10 2003.

SIAM Conference on Mathematics for Industry:
Challenges and Frontiers
October 13-15, 2003

Conference location:
The Metropolitan Hotel Toronto
108 Chestnut Street
Toronto, Ontario, Canada M5G1R3
Telephone: 1-416-977-5000
Reservations: 1-800-668-6600 (U.S. and Canada)
Fax: 1-416-597-6351
http://www.metropolitan.com/toronto/
Reservations e-mail: [email protected]

Specially discounted guest rooms are being held for SIAM meeting attendees until 
Friday, October 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 Conference on Mathematics for Industry. 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/Double 	$205 CAD = approximately $130 USD
(Approximately $146 including all taxes.)

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  


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: ______________________________________________________________

Please send me a confirmation notice.            Yes _____   No _____   

E-mail address ________________________
Complete and mail or fax (1-416-597-6351) this reservation form directly to 
Metropolitan Hotel Toronto.

Questions? E-mail [email protected].