The Brownstone Hotel Reservation Form

Reservations
The Brownstone Hotel
1707 Hillsborough Street
Raleigh, North Carolina 27605
Phone:919-828-0811
Fax: 919-834-0904

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 September 15, 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 Seventh SIAM Conference on Applied Linear Algebra.

Name___________________________________________________________________
                      First                                 Middle Initial                                   Last

Address_________________________________________________________________

City_______________________________________State________Zip_____________

Telephone_______________________________________________________________


Please reserve a (please circle) 

Single: $69.00 +  12% tax = $78
Double: $69.00 +  12% tax = $78

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, The Brownstone Hotel, 1707 Hillsborough Street, Raleigh, North Carolina 27605.