Complete and mail this reservation form to the hotel.  It must arrive on or before Thursday, April 5, 2001.

Reservations
Hilton University of Houston Hotel
4800 Calhoun Street
Houston, TX 77204-3902
Phone: 713-741-2447
Fax: 713-743-2498
http://www.hilton.com/hotels/HOUUHHF/

Specially discounted guest rooms are being held for SIAM meeting attendees until Thursday, April 5, 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 SIAM Southwestern Regional 
Mathematics in Industry Workshop. 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: $85.00
Double:  $85.00
Rates are subject to prevailing state and local taxes @ 17%

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 Hilton University of Houston Hotel.

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 conference/meeting, 
please notify the hotel when making reservations.