INSTRUCTIONS:
Complete this entire form and submit it with a check or a purchase order for the full amount payable to:
NYSACE, Inc.
Cynthia Gillmore
PO Box 200
Johnstown, NY 12095-0200
Phone 518-762-8483
Fax 518-762-2279
E-Mail CyndyG@aol.com
PLEASE NOTE: Early Registration must be postmarked on or before Nov. 20th.
No refunds will be granted after Nov. 30th.
Hotel Registration is on a Separate Form
Name __________________________ REGISTRATION FEES ONLY
Position/Grade___________________ Full Conference: *All Meals & Lodging Separate
School District___________________ Single Person Early Fee Late Fee
School _________________________ Member $150 $180
Address________________________ (NYSACE/SAANYS)
City, State, Zip____________________ Non member $165 $190
Phone___________________________ Team of Three (Complete one form per person)
Fax_____________________________ $420 $465
E-Mail __________________________ *Separate meal tickets: dinner $40, lunch $20
County _________________________
NYSACE Region (if known) One Day Registration
_____________________ Single Person Early Fee Late Fee
Monday (Includes lunch on Monday)
Member $120 $135
(NYSACE/SAANYS)
Non member $130 $145
Tuesday ( No meals)
Member $75 $85
Non member $80 $90
Individual Meal Tickets (Complimentary continental breakfast is offered to those staying in the hotel)
Early Fee Late Fee
Sunday Dinner $40 $55
Speaker only $15 $20
Monday
Lunch $20
Registration Fee/Meal Tickets
Total Amount ___________
Check or PO # ____________
Note: Full conference registration for singles and teams includes NYSACE subscriptions (membership). Each team member must complete the registration form.
For more Conference Information, follow these links:
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