Hotel Reservation Form
Complete and mail this reservation form to the hotel. It must arrive on or before Thursday, April 5, 2001.
Reservations Hilton University of Houston Hotel 4800 Calhoun Street Houston, TX 77204-3902 Phone: 713-741-2447 Fax: 713-743-2498 http://www.hilton.com/hotels/HOUUHHF/ Specially discounted guest rooms are being held for SIAM meeting attendees until Thursday, April 5, 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 SIAM Southwestern Regional Mathematics in Industry Workshop. 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: $85.00 Double: $85.00 Rates are subject to prevailing state and local taxes @ 17% 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 Hilton University of Houston Hotel. Questions? E-mail email@example.com. 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.