Albany Teaching Day Vendor / Sponsorship Registration

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1Registrant Information

2Payment Information

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Contact Information

Company Name*

Company

Contact Person*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Please provide a method to contact you in the event of special conference announcements. A registration confirmation email will be sent this address. Duplicate email addresses are not accepted.

Phone

Company Information

List items your company sells

List the names of the two company representatives attending. Additional badges may be purchased for $60 each, with a maximum of four representatives per booth.

Representative

First Last Credentials

AARC Number

If your representative is an AARC member and is requesting CRCE credit, please provide their AARC membership number.

Representative

First Last Credentials

AARC Number

If your representative is an AARC member and is requesting CRCE credit, please provide their AARC membership number.

Terms and Conditions*

+ Booth reservation includes one table and two vendor representatives.
+ Please contact the Saratoga Casino Hotel for any special requirements you may have for your booth.
+ Payment is made via Credit Card / Debit Card / ACH (e-Check), PayPal, Google Pay, Amazon Pay, or Apple Pay. We accept Visa, MasterCard, or American Express through our secure online payment processing. Only institutional checks will be accepted. No personal checks.
+ Payment by institutional check must be received by the conference or your registration may be void.
+ Click for our conference cancellations / refunds / privacy policy.
+ Any questions please contact us at info@nyssrc.org.

I agree to the Terms and Conditions

Vendor Fee*

Additional representatives

Two additional representatives may register at $50 per registrant. Please include their name(s) and if applicable, their AARC number.

None

One additional

Two additional

Name*

First Last AARC number

Name*

First Last AARC number

Discount code for sponsorship

Total

Payment choice*

Credit Card*

When you click submit, you will be directed to the PayPal website to complete your payment. Once your payment is complete, you will be redirected back to the NYSSRC website for a confirmation message.

Institutional Payment Information

Payment made by institutional check requires the below information. Complete the fields below for the institution that will be issuing the check for this workshop. Do not use your personal address.

Institution Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*