HOTEL RESERVATION FORM

Hotel Albuquerque at Old Town
800 Rio Grande Blvd. NW
Albuquerque, New Mexico 87104
USA
Phone Number: +1-505-843-6300
Toll Free Reservations (USA and Canada): 1-866-505-7829
Fax: +1-505-842-8426
Hotel web address: http://www.hotelabq.com/

Group online reservations:($129.00 per night):  https://gc.synxis.com/rez.aspx?Hotel=63151&Chain=17123&arrive=5/22/2016&depart=5/27/2016&adult=1&child=0&group=16052016SI

Online Student Reservations ($90.00 per night) https://gc.synxis.com/rez.aspx?Hotel=63151&Chain=17123&arrive=5/22/2016&depart=5/27/2016&adult=1&child=0&group=1605SIAMST

Student ID must be presented upon check-in. SIAM is able to negotiate a limited number of special student rate rooms. Please book early as these rooms sell out quickly!

Hotel Reservation Deadline: April 25, 2016

Specially discounted guest rooms are being held for meeting attendees through April 25, 2016.  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 Hotel Albuquerque 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 Imaging Science (IS16). 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 13.1875% tax
Student rate                $90.00 per night plus 13.1875% tax
Student ID must be presented upon check-in. SIAM is able to negotiate a limited number of special student rate rooms. Please book early as these rooms sell out quickly!

Room rates include complimentary Internet access.
All rooms based on availability.
All rates are subject to state and local occupancy taxes.
* Additional fees of $15 per person, per night, apply to triple and quad occupancy.

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

Departure date _____/_____

A credit card is required to guarantee your room.

Additionally, the hotel requires a hold of $25 per night for incidentals. If no incidental charges are incurred, the hold will be released at check-out.

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 A CREDIT CARD OR DEPOSIT.

Complete and mail or fax this reservation form directly to the Hotel Albuquerque. Contact information for the hotel appears at the top of this page.

Questions? E-mail meetings@siam.org


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