View Conference Schedule

Submit the following information and you will be contacted by our travel agency with a detailed itinerary. (Note: Use your "Tab" key to move down the form. Hitting "Enter" will cause the form to submit.)

Traveler Information

(Fill in all that apply.)

First Name

Last Name

We will use these fields to issue your airline ticket. Make sure you enter your name exactly as it appears on the identification you will use to check in at the airport.

Guest Name

E-Mail Address

Daytime Phone

Fax Number

Cell Phone

Emergency Contact Number

Home Address

City

State

Zip Code

Room Request   -   Portofino Bay Hotel, Orlando

Check In is 4:00 p.m. However, due to our group size, they will accommodate our guests as the rooms are available and of course make arrangements to hold the baggage until rooms are available.  If a guest would like to go to the Theme Parks...they will actually give them their room key so that they get the front of line access and hold their baggage for them with the bell stand.

Check In Date

Check Out Date

Bed Type

Smoking Preference

Teplis will make every effort to secure your preferred room and bed type. There is no guarantee that the hotel in question will honor these requests.

Flight Request

Check here if you do not need flight arrangements.
(Proceed to the Comments Section.) 

Departure City

Departure Date

Return Date

Departure Time

Return Time

Preferred Airline

Frequent Flyer Membership Number

This information is requested in the event your preferred airline has the lowest available fare. There is no guarantee that this airline will be used.

Seating Request

Special Flight Meal Request

Teplis will make every effort to secure your preferred seating and to arrange for special meal requests. There is no guarantee that the airline in question will honor these requests.

Credit Card Information  -  (If not in profile)

Card Type

Card Number

Expiration Date

Name (exactly as printed on card)

Comments & Special Requests

(Use this space for any special requests not covered above.)