Hotel Reservation Form

SIAM Northwest Regional Mathematics in Industry Workshop

October 12-14, 2000
University of Washington, Seattle, WA

Please print this form out and mail this reservation form to reach the hotel by September 12, 2000.

Silver Cloud Inn
5036 25th Ave NE
Seattle, WA 98105
Phone: 206-526-5200, 800-205-6940
Fax: 206-522-1450

Check-in time: 4:00 PM
Check-out time: 12:00 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 .
                      First                                 Middle Initial                                   Last



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.__________________________________________________________
Exp. Date______/______

Complete and mail or fax this reservation form directly to Reservations, Silver Cloud Inn, 5036 25th Ave NE, Seattle, WA, 98105.

©2000, Society for Industrial and Applied Mathematics
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Created 3/6/00; Updated 4/4/00