Fourth International Conference on Mathematical
and Numerical Aspects of Wave Propagation

Reservation Form for CSM Lodging

COLORADO SCHOOL OF MINES
GOLDEN, COLORADO
MAY 31 - JUNE 5, 1998

Please Type or Print all information.
Please submit a separate form for each individual
Please return form by May I st to

NAME:____________________________________ (Daytime) PHONE:____________________

ADDRESS:______________________________________________________________________  
                  Street                   City                State     Zip

E-mail:________________________________________________________________________

Fax:___________________________________________________________________________

Arrival date:______________________ Time:____________

Departure date:___________________ Time:____________

I. Lodging on campus during meeting:

The planned lodging facility will consist of suites in Weaver Towers Residence Hall. In Weaver Towers, suites house approx. 8 people: typically in 2 single rooms, and 3 double rooms with bunk beds. All beds are twin size. Each guest is provided: bed linens, bath, hand and face towel. Linen exchange provided once during stay. Each suite is accommodated with 2 semi-private bathrooms. The number of single rooms is limited.

a) Please indicate desired lodging preference -- spaces will be assigned on a first come, first served basis:
_______Single Occupancy Room at $22.00 per night per person plus 7.3% tax
_______Double Occupancy Room at $19.00 per night per person plus 7 .3% tax
Roommate Name:____________________

b) Please indicate with an "X" the nights which you will need overnight accommodation:
______Saturday, May 30 ______Tuesday, June 2 ______Friday, June 5
______Sunday, May 31 ______Wednesday, June 3 ______Saturday, June 6
______Monday, June I ______Thursday, June 4

II. Payment for lodging on campus:

a) Payment is welcome in the form of Visa, MC, AMEX, money orders, or personal checks.
b) Payment is required in full and must accompany reservation form.
c) If you need to change or cancel your CSM lodging reservation, you must contact CSM in writing 21 days prior to your scheduled arrival to receive a refund of your lodging fee minus a $25 handling fee. Cancellation after that time will result in a $50 penalty. Refunds will be sent to you in the mail in the form of a check within four weeks of cancellation.
d) Figure Payment: # of nights______ x Room rate $_______ x Tax rate: 7.3% = $ ________

III. Arrivals and Departures, etc.

a)The Weaver Towers reception desk welcomes your arrival for CSM lodging between the hours of 8 am - 8 pm daily.
No arrivals prior to noon on Saturday, May 30th will be accommodated.
b) The Weaver Towers reception desk welcomes your departure from CSM lodging between the hours of 8 am - 8 pm daily. All guests must check-out at the Weaver Towers desk by noon on Sunday, June 7th.
c) Lost or non-returned keys will be charged to the individual. Each key is charged at $65.00

Direct all CSM lodging correspondence to Heather Boyd (SIAM Lodging), Student Life Office, Colorado School of Mines, Golden, CO 80401. Phone: (303) 273-3050. FAX: (303) 273-3084. E-mail: [email protected].

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MMD, 12/22/97