HOTEL RESERVATION FORM
Hilton Phoenix East/Mesa
1011 West Holmes Avenue, Mesa, AZ 85210-4923
Phone Number: +1-480-833-5555
Toll Free Reservations: 800-Hiltons (USA and Canada)
Fax: +1-480-649-1886
http://www.hiltonphoenixeast.com/
Specially discounted guest rooms are being held for meeting attendees through Monday, November 5, 2007. 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 Hilton Phoenix East/Mesa 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 Analysis of Partial Differential Equations. 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 12.2% tax.
All rooms based on availability.
All rates are subject to state and local occupancy taxes.
Arrival date _____/_____ Arrival time _____:_____AM/PM
Departure date _____/_____
A deposit 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 to the Hilton Phoenix East/Mesa.
Contact information for the hotel appears at the top of this page.
Questions? E-mail [email protected]
