Best Western New Hampshire Suites Hotel Reservation Form

Deadline: Monday, August 14, 2000.

Reservations
Best Western New Hampshire Suites Hotel
1121 New Hampshire Avenue, N. W.
Washington, DC 20037
Phone: 202-457-05765
Fax: 202-331-9421

Check-in time: 3:00 PM
Check-out time: 12:00 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 August 14, 2000. 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 First SIAM Conference on Computational Science and Engineering.

Name___________________________________________________________________
                      First                                 Middle Initial                                   Last

Address_________________________________________________________________

City_______________________________________State________Zip_____________

Telephone_______________________________________________________________


Please reserve a (please circle) 

Single: $140 +  14.5% tax = $160.30
Double: $140 +  14.5% tax = $160.30

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  Check 

Credit card no.__________________________________________________________

Exp. Date______/______

Signature_________________________________________________________________

Complete and mail or fax this reservation form directly to Reservations, Best Western New Hampshire Suites Hotel, 1121 New Hampshire Avenue, N. W., Washington, DC 20037.