Hotel Reservation Form
Hotel Reservation Form SIAM International Conference on Data Mining (SDM04) April 22-24, 2004
Your reservation is not confirmed until acknowledged in writing by the hotel or verified by phone. When making reservations by phone, please identify yourself as an attendee of the SIAM Data Mining
Please do not send this form to SIAM.
Name_______________________________________________________________________ First Middle Initial Last Address______________________________________________________________________ City_______________________________________State________Zip____________________ Telephone_____________________________________________________________________ Fax__________________________________________________________________________ E-mail ________________________________________________________________________ Please reserve a (please circle) Single/Double $109.00 per night plus 11.5% tax Student Rate $89.00 per night plus 11.5% tax (Student ID must be presented upon check-in)
All room rates based on availability.
Arrival Date _____/_____ Arrival Time _____:_____AM/PM Departure Date _____/_____ Guarantee my room for late arrival (after 6:00 PM) ____Yes ____No Cancellation policy for non-guaranteed rooms is 24 hours. I choose to pay my deposit for the first night's room rate by (please circle) VISA MasterCard American Express Diners Club Japan Credit Bureau Discover Carte Blanche Credit card no.__________________________________________________________ Exp. Date______/______ Name as it appears on the card: _________________________________________ Signature: ______________________________________________________________ Please send me a confirmation notice. Yes _____ No _____ Your e-mail address/fax number ________________________ Complete and mail or fax (1-407-827-6369) this reservation form directly to the Hilton in the Walt Disney World Resort. Questions? E-mail email@example.com. SDM04 Home