Hotel Reservation Form
Complete and mail this reservation form to the hotel. It must arrive on or before
Thursday, June 6, 2002.
Philadelphia Marriott Hotel
1201 Market Street
Philadelphia, PA 19107
215-625-2900 Direct Telephone
215-625-6101 Reservation Fax
Specially discounted guest rooms are being held for SIAM meeting attendees until
Thursday, June 6, 2002. After that date, reservations will depend on availability.
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 50th Anniverary and 2002 Annual Meeting. Be sure to request a confirmation number.
Please do not send this form to SIAM.
First Middle Initial Last
Please reserve a (please circle)
*Student Single: $126
*Student Double: $136
Rates are subject to prevailing state and local taxes.
Due to the limited number of rooms available (10 rooms at $126 single/$136 double),
you must be a student in order to reserve these rooms. You will be required
to show your student ID before checking into rooms. Rooms are on a first-come,
Arrival Date _____/_____ Arrival Time _____:_____AM/PM
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
Diners Club Japan Credit Bureau Discover
Credit card no.__________________________________________________________
Name as it appears on the card: _________________________________________
Please send me a confirmation notice. Yes _____ No _____
Your e-mail address ________________________
Complete and mail or fax (215-625-6101) this reservation form directly to
the Philadelphia Marriott.
Questions? E-mail email@example.com.