Fourth International Conference on Mathematical
and Numerical Aspects of Wave Propagation

Hotel Reservation Form

Complete and mail this reservation form directly to Reservations, The Table Mountain Inn, 1310 Washington Avenue, Golden, CO 80401. 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 May 12, 1998. 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 Wave Propagation. Telephone: 800-762-9898 (U.S. only); 303-277-9898. 

Name___________________________________________________________________	
	First 	                 Middle Initial                	Last

Address_________________________________________________________________	

City_______________________________________State________Zip_____________

Telephone_______________________________________________________________
	
Please reserve a (please circle)         $78.00 King/Single     
                                         $93.00 Executive King Single
  
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______/______

Signature_________________________________________________________________

Complete and mail this reservation form directly to Reservations, The Table Mountain Inn, 1310 Washington Avenue, Golden, CO 80401. Please do not send this form to SIAM.

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MMD, 1/5/98