Complete and mail this reservation form to the hotel. It must arrive on or before Friday, October 10 2003.
The Metropolitan Hotel Toronto
108 Chestnut Street
Toronto, Ontario, Canada M5G1R3
Reservations: 1-800-668-6600 (U.S. and Canada)
Reservations e-mail: email@example.com
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 firstname.lastname@example.org.