HOTEL RESERVATION FORM
Omni William Penn Hotel
Attention: Reservations Department
Omni William Penn Hotel
530 William Penn Place
Pittsburgh, Pennsylvania 15219
Phone: +1-(412) 281-7100
Toll-Free Reservations (US and Canada): +1-800-THE-OMNI , 1-800-843-6664
Fax: +1-(412) 553-5159
http://www.omnihotels.com/FindAHotel/PittsburghWilliamPenn.aspx
Specially discounted guest rooms are being held for meeting attendees through June 14, 2010. 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 Omni William Penn Hotel 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 2010 SIAM Annual Meeting and SIAM Conference on the Life Sciences. 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 $169.00 per night plus 14.0% tax
All rooms based on availability.
All rates are subject to state and local occupancy taxes.
* Additional fees of $20 per each additional person apply.
Arrival date _____/_____ Arrival time _____:_____AM/PM
Departure date _____/_____
A credit card is required to guarantee your room.
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 CREDIT CARD OR DEPOSIT.
Complete and mail or fax this reservation form directly tothe Omni William Penn Hotel. Contact information for the hotel appears at the top of this page.
Questions? E-mail [email protected]
