HOTEL RESERVATION FORM

Courtyard Gaithersburg Marriott Washingtonian Center
204 Boardwalk Place
Gaithersburg, MD   20878
Phone Number: +1-301-527-9000
Toll Free Reservations (USA and Canada): 800-321-2211 (reference SIAM OPSFA13 2015)
Fax: +1- 301-542-0137  
Hotel web address: http://www.marriott.com/hotels/travel/wascg-courtyard-gaithersburg-washingtonian-center/
Group online reservations: Book your group rate: SIAM OPSFA13 2015 >>
Student online reservations: Book your group rate: SIAM OPSFA13 2015 STUDENT >>

Hotel Reservation Deadline: May 4, 2015

Specially discounted guest rooms are being held for meeting attendees through May 4, 2015.  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 Courtyard Gaithersburg Washingtonian Center 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 13th International Symposium on Orthogonal Polynomials, Special Functions and Applications (OPSFA13).  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             $125.00 per night plus 15% tax
Student rate                $112.50 per night plus 15% 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


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 A ONE-NIGHT LODGING DEPOSIT.

Complete and mail or fax this reservation form directly to the Courtyard Gaithersburg Washingtonian Center. Contact information for the hotel appears at the top of this page.

Questions? E-mail meetings@siam.org


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