Sponsored by SIAM Activity Group on Dynamical Systems

Hotel Reservation Form

Complete and mail this reservation form to reach the hotel by April 18, 2001.

Specially discounted guest rooms are being held for SIAM meeting attendees until April 18, 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 Sixth SIAM Conference on Applications 
of Dynamical Systems. 

Please do not send this form to SIAM.  

Name___________________________________________________________________
                      First                                 Middle Initial                                   Last

Address_________________________________________________________________

City_______________________________________State________Zip_____________

Telephone_______________________________________________________________


Please reserve a (please circle) 

Single:  $98.00
Double:   $98.00
Student Dorm:   $28.00 (Student ID required)
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         Check 

Credit card no.__________________________________________________________

Exp. Date______/______

Please make Canyon Transportation shuttle reservations for me. ____Yes ____No

Airline _______    Flight# _______

Please send me a confirmation notice.            Yes _____   No _____ 

Complete and mail or fax this reservation form directly to Snowbird Resort Reservations.  
Questions? E-mail [email protected].

SIAM wishes to take steps to ensure that no individual with a disability is excluded, 
denied services, segregated or otherwise treated differently than other individuals 
because of the absence of auxiliary aids and services. If you need any auxiliary aids 
or services identified in the Americans with Disabilities Act, or assistance in registering 
for this symposium, please contact Coley Lyons by fax: (215) 386-7999 or e-mail: [email protected].