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______________________________________________________________________
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 ____
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 firstname.lastname@example.org