Hotel Reservation Form
Complete and mail this reservation form to reach the hotel, by Saturday, September 14, 2002.
The Hilton Garden Inn
Reservation Fax: 202-783-7801
Specially discounted guest rooms are being held for SIAM meeting attendees until Saturday, September 14, 2002. 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 Symposium on Computational Models and Simulation for Intra-Cellular Processes. Be sure to request a confirmation number. Please do not send this form to SIAM.
Name_______________________________________________________________________ First Middle Initial Last Address______________________________________________________________________ City_______________________________________State________Zip____________________ Telephone_____________________________________________________________________ Fax__________________________________________________________________________ E-mail ________________________________________________________________________ Please reserve a (please circle) Single/Double: $145 Rates are subject to prevailing state and local taxes. 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 Diners Club Japan Credit Bureau Discover Credit card no.__________________________________________________________ Exp. Date______/______ Name as it appears on the card: _________________________________________ Signature: ______________________________________________________________ If a credit card is provided, the room is guaranteed for late arrival after 4:00 PM Eastern Daylight Time. Please send me a confirmation notice. Yes _____ No _____ Your e-mail address ________________________ Questions? E-mail email@example.com. CM02 Home