Hotel Reservation Form
Complete and mail this reservation form to the hotel. It must arrive on or before Thursday, December 6, 2001.
SIAM is holding a block of rooms at the Radisson Miyako Hotel. These rooms are be held on a first-come, first-served basis at $119 single/double. No more than two people are allowed per room. Rates are subject to prevailing state and local taxes, currently 14%. These rooms will be held for SIAM's use until Thursday, December 6, 2001. 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 SODA Conference. 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: $119.00 Double: $119.00 Rates are subject to prevailing state and local taxes @ 14% 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______/______ Please send me a confirmation notice. Yes _____ No _____ Your e-mail address ______________________________________ Complete and mail or fax this reservation form directly to The Radisson Miyako Hotel. Questions? E-mail firstname.lastname@example.org.