Hotel Reservation FormDeadline: Extended! Wednesday, March 9, 2001 |
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Please print this form out and mail or fax it to reach the hotel by ReservationsThe Midland Hotel Check-in time: 3:00 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 Wednesday, March 9, 2001. After that date, Name___________________________________________________________________ First Middle Initial Last Address_________________________________________________________________ City_______________________________________State________Zip_____________ Telephone_______________________________________________________________ Please reserve a (please circle) Single: $129.00 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 or fax (312-332-5909) this reservation form directly to Reservations, The Midland Hotel,
SIAM wishes to take steps to ensure that no individual with a disability is excluded, denied services, segregated or otherwise |