HOTEL RESERVATION FORM 
 University Tower Hotel 
 4507 Brooklyn Avenue, NE 
 Seattle,  Washington 98105 
 Direct telephone: +1-206-634-2000 
 Hotel fax: +1-206-547-6029
 Toll-free: +1-800-899-0251
 http://www.meany.com/
Specially discounted guest rooms are being held for meeting  attendees at the 
University Tower Hotel through July 8, 2006.  After that  date, reservations will 
depend on availability. SIAM negotiates to get the best  possible rate for attendees 
at the host hotel.  
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 Nonlinear  Waves.  Be sure to get a confirmation 
number!
PLEASE DO NOT SEND THIS FORM TO SIAM.
    
   Name________________________________________________________________________
               First                     Middle Initial                Family  
   Address______________________________________________________________________
City________________________________State________Zip_______  Country_____________
Telephone__________________________FAX___________________
Please reserve a:
 
Single/double        $119  per night plus applicable taxes
All rooms based on availability.
   All rates are subject to state and local occupancy taxes.
Arrival date _____/_____                  Arrival time  _____:_____AM/PM
Departure date _____/_____
A credit card is  required to guarantee your room.
   I choose to guarantee my room by:
Credit Card #_______________________________________Exp.  Date ________________
Name as it appears on credit card  _______________________________________________
Guarantee my room for late arrival (after 6:00 PM) Yes  ____No ____ 
Signature  __________________________________________________________________
 
Please send me  a confirmation notice.      Yes____No  ____    
E-mail address/fax number:  ___________________________________________
                                                                                                                                   
   ALL RESERVATIONS MUST BE GUARANTEED WITH CREDIT CARD OR  DEPOSIT.
Complete and mail or fax this reservation form directly to the  University Tower Hotel.
 Contact information for the hotel appears at the top of  this page.
Questions? E-mail meetings@siam.org
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