Hotel Reservation Form
Please print this form out and mail this reservation form to reach the hotel by April 28, 2000.
Check-in time: 4:00 PM
Please do not send this form to SIAM.
Please send me a confirmation notice.
Specially discounted guest rooms are being held for SIAM meeting attendees until April 28, 2000. 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 Conference on Mathematical Aspects of Materials Science.
Name___________________________________________________________________ First Middle Initial Last Address_________________________________________________________________
Please reserve a (please circle)
Single: $159.00 plus 14% tax Double: $159.00 plus 14% tax
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.__________________________________________________________
Complete and mail this reservation form directly to Reservations, Crowne Plaza Hotel, 1800 Market Street Philadelphia, PA 19103