Contact Information
Will attend
Please select
Yes
No
Mr/Mrs/Ms
Please select
Mr
Mrs
Ms
First Name
Last Name
Company
Address 1
Address 2
City/State/Zip
Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Phone - Office
Phone - Cell
Fax
E-mail
Date of Birth*
*New TSA Rules Require this information
ID Type
Please Select
Drivers License
Passport
Other (please provide)
Guest Name(s)
(All guests must be directed to the order form to fill out and submit).
Sharing a room?
No
Yes
Will your guest be sharing a room with you?
Please select air travel time at your earliest convenience or you will be automatically scheduled on the 6:35pm flight from LaGuardia Airport on Thursday, March 22, 2012. All other information must be submitted no later than Friday, January 27, 2012.
If you are not leaving from a New York airport, please
click here
to make special travel arrangements.
Please indicate your travel preferences below. We will make best effort to accommodate you.
Depart Thursday, March 22, 2012 from
(airport of choice)
on Delta to arrive in Tampa at
(time).
Depart Sunday, March 25, 2012 from Tampa to
(airport of choice)
on Delta arriving at
(time).
Please provide Delta SkyMiles number (optional):
LaGuardia To Tampa
Please select
3/22 Delta # 2280 depart Laguardia 0700am - arrive Tampa 1000am
3/22 Delta # 5887 depart Laguardia 1020am - arrive Tampa 123pm
3/22 Delta # 1935 depart Laguardia 300pm - arrive Tampa 608pm
3/22 Delta # 1435 depart Laguardia 635pm - arrive Tampa 953pm
I have a conflict with this flight. Please contact me.
Tampa To LaGuardia
Please select
3/25 Delta # 2135 depart Tampa 0700am - arrive Laguardia 0950am
3/25 Delta # 2280 depart Tampa 1005am - arrive Laguardia 1244pm
3/25 Delta # 5887 depart Tampa 0242pm - arrive Laguardia 0530pm
I have a conflict with this flight. Please contact me.
JFK To Tampa
Please select
3/22 Delta # 2391 depart JFK 530pm - arrive Tampa 830pm
I have a conflict with this flight. Please contact me.
Tampa To JFK
Please select
3/25 Delta # 890 depart Tampa 1210pm - arrive JFK 255pm
I have a conflict with this flight. Please contact me.
Please provide Delta SkyMiles number (optional):
Hotel Smoking
Please Select
Smoke Free room
Smoking room
All rooms based on double occupancy
Activity
Select
Golf
Spa
Other (Relax at Hotel)
We may eliminate one of these activities depending on participants' responses.
In the event of cancellation due to weather, we have a day planned at a local attraction. You can also enjoy the hotel pool with complimentary lunch and drink voucher by selecting "Relax at Hotel"
For Golf attendees only
I will rent clubs
I will bring my own clubs
Golf handicap
Please enter
Pair or Group Request
Please provide name(s)
Shirt - men
Select
Sm
Med
Lg
XL
XXL
XXXL
Shirt - women
Select
Sm
Med
Lg
XL
XXL
XXXL
Some items in the gift bag may not be size specific. All gift bag items are subject to change.
Please forward questions or special requests to Mary Connor of Weinrib & Connor at 914-686-3900 Ext. 223 (
events@weinconn.com
) or John Connor at Ext. 224 (
traffic@weinconn.com
)
