Hotel Reservation Form

Reservations
Crowne Plaza Hotel
1800 Market Street
Philadelphia, PA 19103
Phone: 215-561-7500
Fax: 215-561-2556

Check-in time: 4:00 PM
Check-out time: 12:00 PM

Please do not send this form to SIAM.

Please send me a confirmation notice.

Specially discounted guest rooms are being held for SIAM meeting attendees until April 28, 2000. 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 Mathematical Aspects of Materials Science.

Name___________________________________________________________________
                      First                                 Middle Initial                                   Last


Address_________________________________________________________________

City_______________________________________State________Zip_____________

Telephone_______________________________________________________________

Please reserve a (please circle) 

Single: $159.00 plus 14% tax
Double: $159.00 plus 14% tax

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______/______

Signature_________________________________________________________________

Complete and mail this reservation form directly to Reservations, Crowne Plaza Hotel, 1800 Market Street Philadelphia, PA 19103