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  PASSPlus REGISTRATION FORM
 
Please complete the information requested below. Remember, to get access to all the specials and discounts for the program, please include all the required information requested. Submit the form and your ELM PASSplus membership starts today!

REQUIRED INFORMATION:


First Name:
Last Name:
Company:
Address:
City:
State:
Zip:
Email:
Phone:

Please select a username and password to use with our system.
Username:
Password:


ADDITIONAL INFORMATION (not required, but helpful!)
1. What is typically the purpose of your travel?
 
Leisure Business

2. How often do you travel?

1-2 times per year 3-4 times per year 5+ times per year

3. Why do you choose Elmira Corning Regional Airport?

Close to home/business
Preferred airline
Time convenience
Low ticket price
Other, please explain

4. What is your overall impression of your experience at Elmira Corning Regional Airport?

Wonderful - better than expected
Good - about what I expected
Below expectations - Why?

5. Why are you signing up today?

PASSPLUS Discounts
Preferred Pricing and Parking at the Airport
Member Sweepstakes
Airport News and Updates
Other, please explain

6. Where did you hear about the program?

Route 86 Billboard
Airport Newsletter - Star Gazette
Airport Newsletter - Corning Leader
PASSplus brochure in Airport terminal
ELM Website
Another PASSPLUS member
Other, please explain