HOTEL RESERVATION FORM
Hilton Phoenix East/Mesa
1011 West Holmes Avenue, Mesa, AZ 85210-4923
Phone Number: +1-480-833-5555
Toll Free Reservations: 800-Hiltons (USA and Canada)
Fax: +1-480-649-1886
http://www.hiltonphoenixeast.com/

Specially discounted guest rooms are being held for meeting attendees through Monday, November 5, 2007. After that date, reservations will depend on availability. SIAM negotiates to get the best possible rate for attendees at the host hotel.  Your support in staying at the Hilton Phoenix East/Mesa helps keep SIAM conference registration fees down, which directly affects you as an attendee.

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 Analysis of Partial Differential Equations. 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        $129.00 per night plus 12.2% tax.

All rooms based on availability.
All rates are subject to state and local occupancy taxes.

Arrival date _____/_____        Arrival time _____:_____AM/PM

Departure date _____/_____

A deposit 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 Hilton Phoenix East/Mesa.
Contact information for the hotel appears at the top of this page.

Questions? E-mail meetings@siam.org


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