Registration Form
Attendee Name:
# Guests Attending:
Email Address:
Company Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Cell:
Fax:
What type of company do you represent?
Caterer
Venue Representative
Event Planner
Other – Please Specify :
Floral Designer
How did you hear about the Showcase?
WellWed Magazine
Invitation
Agenda
Website
Save The Date
Other – Please Specify :
Do you require shuttle service from the LIRR Ronkonkoma train station?
Yes
No
If you need additional information, please let us know…
