Hotel Reservation Form

Hotel Reservation Form
SIAM Conference on Applications of Dynamical Systems (DS03)
May 27-31, 2003

Snowbird Ski and Summer Resort, Snowbird, UT
Snowbird, UT 84092-9000
Telephone: 801-742-2222
Reservations: 800-453-3000 (U.S. only)
Fax:  801-947-8227 
www.snowbird.com
Reservations email: [email protected]

Complete and mail this reservation form to reach the hotel, by 
Wednesday, April 23, 2003.

Specially discounted guest rooms are being held for SIAM meeting attendees until Wednesday, 
April 23, 2003.  After that date, reservations will depend on availability. Your support in 
staying at  Snowbird helps keep SIAM meeting costs down, which directly affects you as an attendee.

Your reservation is not confirmed until acknowledged in writing by the hotel or verified 
by e-mail or fax. When making reservations by phone, please identify yourself as an attendee 
of the SIAM Conference on Applications of Dynamical Systems.  Be sure to get 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)


Cliff Lodge, Single		
$ 106.00++ per night 
(Approximately $116 including tax)

Lodge at Snowbird and The Inn, Single/Double 
$ 106.00 ++ per night
(Approximately $116 including tax)

Students (with ID) - Dormitory Rates 
**First Come, First Served**
$ 35.00 ++ per night
(Approximately $39 including tax)

All room rates based on availability.
Rates are subject to prevailing state and local occupancy taxes,
currently 10%.
           

Arrival Date _____/_____      Arrival Time _____:_____AM/PM

Departure Date _____/_____

Guarantee my room for late arrival (after 6:00 PM) ____Yes ____No  
Cancellation policy for non-guaranteed rooms is 24 hours. 

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       Carte Blanche

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 ________________________

Complete and mail or fax (801-947-8227) this reservation form directly to 
Snowbird.

Questions? E-mail [email protected].

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