TEAM TRAVEL INFORMATION
Please email or fax this form to your Competition Administrator prior to your Departure.
Please print carefully or type.
GENERAL INFORMATION
Team Number: 365
Country/Region: United States/South
School Name: Emory University
Team Contact Name: ________Mr._________________Atul___________________Jain______________________
Ms./Mrs./Mr./Dr.
Tel: (630) 803-1413
First Name
Fax:
(Codes)
Last Name
(Codes)
ARRIVAL INFORMATION
This Team will be arriving on March 25, 2012
Arrival date and time
at/on 9:13 am by AirTran 184 (ATL-DCA)
Please include arrival point (airport/station) flight/train number for the appropriate mode of transportation
(flight/train/car)
This Team [X] will
.
[ ] will not attend the Orientation Meeting.
CONTACT INFORMATION DURING THE COMPETITION
Local Contact Name: _Atul Jain_____________________________________________________________________
Local Contact Phone Number: __(630) 803-1413________________________________________________
Alternate Contact Name: __Bret Chaness__________________________________________________________
Alternate Contact Phone Number: ___(248) 980-2288___________________________________________
Hotel/Host Name: ___DoubleTree_________________________________________________________________
Hotel/Host Phone Number: (202) 232-7000
________
Hotel/Host Address: 1515 Rhode Island Ave., NW
Street and Number
______ Washington, DC 20005_____________________________________________________
City
State/Region
Postal Code
ADDITIONAL ACCOMMODATIONS
Please list the name(s) of any team members or team advisors who will need special
accommodations during the Competition, and the type of accommodations needed, such as
wheelchair access, hearing assistance, observance of Saturday Sabbath, etc.:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________