Hotel Reservation Form
SIAM Northwest Regional Mathematics in Industry Workshop
October 12-14, 2000
Please print this form out and mail this reservation form to reach the hotel by September 12, 2000.
Check-in time: 4:00 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 12, 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 SIAM Northwest Regional Mathematics in Industry Workshop .
Name___________________________________________________________________ First Middle Initial Last Address_________________________________________________________________ City_______________________________________State________Zip_____________
Telephone_______________________________________________________________ Please reserve a (please circle)
Single: $89.00 Double: $89.00 Note: Rates are subject to 15.6% room tax.
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.__________________________________________________________
Complete and mail or fax this reservation form directly to Reservations, Silver Cloud Inn, 5036 25th Ave NE, Seattle, WA, 98105.