HOTEL RESERVATION FORM

Hyatt Regency Baltimore Inner Harbor
301 Light Street
Baltimore, Maryland 21202
Phone Number: +1-410-528-1234
Toll Free Reservations (USA and Canada): 1-800-233-1234
Reservation Fax: +1-410-685-3362
Hotel web address: https://baltimore.regency.hyatt.com/en/hotel/home.html

Specially discounted guest rooms are being held for meeting attendees through November 9, 2017 or until the room block is fullAfter this 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 Hyatt Regency Baltimore Inner Harbor helps keep SIAM conference registration fees down, which directly affects attendees.

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*            $140.00 per night plus 15.5% tax
Student rate                $113.00 per night plus 15.5% 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!

The hotel offers prevailing government rates to government employees.

Room rates include complimentary Internet access.
All rooms based on availability.
All rates are subject to state and local occupancy taxes.
*Additional fees of $25 per person apply to triple occupancy and $50 to quad occupancy.

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 SIAM Conference on Analysis of Partial Differential Equations. Contact information for the hotel appears at the top of this page.

Questions? E-mail meetings@siam.org


Donate · Contact Us · Site Map · Join SIAM · My Account
Facebook Twitter Youtube linkedin google+