NYSAER 2006 CONFERENCE:  “Capitalizing on our Future!” Albany, New York

November 5, 6, and 7, 2006

REGISTRATION FORM (please print)

 

Name: _________________________________________________

Discipline: ______________________________________________ (CVRT, O&M, TVI, other (please specify) 

Agency: ________________________________________________

Address: _______________________________________________

_______________________________________________________

Telephone: work ___________________ home ________________

e-mail __________________________________________________

AERBVI Membership Number _______________Exp. _________

 (Your membership number must be included to receive a membership rate)

If you are not a member, would you like to join before this conference? __ Yes, please send an application

                                                                                                                   __ No thank you

Choose Concurrent Sessions: Write in the letter of your choice, refer to program.

Sunday, Workshop ______ (Stipend will be available for your Sunday night hotel room)

Monday, Session I _______   Monday, Session II _______

Tuesday, Session III _______ Tuesday, Session IV _______

 

*NOTE THE FIRST REGISTRATION PRICE IN EACH PAIR IS EARLY BIRD REGISTRATION, October 15, 2006.

     Your registration must be postmarked by October 15, 2006 to be eligible for the discount.


 

     We do accept walk-ins.   


 

Circle One:  (If you would like to donate a door prize or an item for the Auction, please bring it with you to the conference!) 

Full Conference: (Sunday – Tuesday) We will be auctioning off a week stay in the beautiful island of Aruba! (donated by Chuck Cohen of C Tech  for December 2007.  Go to our web site www.nysaer.org for details)

Includes Registration, Sunday workshop, Sunday Reception, Monday Continental Breakfast, Awards Luncheon Buffet, Awards Dinner, Not So Silent Silent Auction, Tuesday Continental Breakfast and Buffet Luncheon.     

__Member: $149.00/159.00     __Non-Member:  $169.00/179.00     __College Student $129.00/139.00     __Parent $129.00/139.00

 

Sunday and Monday Only: 

Includes Registration, Sunday workshop, Sunday Reception, Monday Continental Breakfast, Coffee Break, Awards Buffet Luncheon.  You will need to purchase a Banquet ticket if you plan on attending the Awards Dinner.  

 

___Member: $85.00/95.00     ___Non-Member: $105.00/115.00     ___College Student $65.00/75.00      ___Parent $65.00/75.00     

 

Sunday Only:  Licensure Action Workshop and Reception sponsored by NYVRA      

 

___$25.00

 

Monday Only:

Includes Registration, Monday Continental Breakfast, Coffee Break, Awards Buffet Luncheon.  You will need to purchase a Banquet ticket if you plan on attending the Awards Dinner.  

 

__Member: $77.00/87.00     __Non-Member:  $97.00/107.00     __College Student $57.00/67.00     __Parent $57.00/67.00

 

Tuesday Only:

Includes Registration, Tuesday Continental Breakfast, Coffee Break, Buffet Luncheon.

__Member: $65.00/75.00     __Non-Member:  $85.00/95.00     __College Student $45.00/55.00     __Parent $45.00/55.00

 

Albany Marriott: please call the hotel reservation office to make your reservation. Their telephone number is 518-458-8444 or 1-800-443-8952. To ensure conference rates, call and make your reservation before October 15th and be sure to mention you are with “NYSAER”. Rates: single $94.00; double $94.00 ($47.00 per person). The above group rate will be subject to applicable NYS sales and occupancy taxes, unless an individual’s tax exempt certificate is presented at check in.  www.albanymarriott.com.        

FOR YOUR DINING PLEASURE             

Please select one entrée choice for November 6th Awards Dinner and indicate any additional Awards Banquet ticket purchases and entrée selections:

___Chicken Madeira, Herb Crusted Breast of Chicken with Madeira Glaze, Portobello Mushrooms and Roasted Red Peppers

___Sole Chardonnay, With a Crabmeat Filling and topped with fresh Dill Cream Chardonnay

___Kosher Entrée

___Vegetarian Entrée, Grilled Vegetable Lasagna Roulade with Ricotta Cheese, Portobello Mushrooms, Red Pepper and Zucchini

Would you like additional tickets at $35.00 each? Yes, I would like #____ additional tickets.

Additional ticket meal selections: (please write in) ____________________________________________________

Please help us by identifying any access or accommodation you need. We will need this information by October 15, 2006.

REQUEST FOR PROGRAM MEDIA:

____ Print       ____ Large Print        ____Braille

ADDITIONAL REQUESTS:

____ Tactile Map

____ Hotel Orientation

*Please note any additional individual needs/requests to support your full participation in this conference: _________________

Make checks or money orders in us currency payable to: NYSAER

Amount Enclosed: _$______________

send this registration form with payment to:

 

Dan McLaughlin

P.O. Box 663

Auburn, New York 13021

If you have any questions please call Suzanne Mullen (315) 635-1768, email:  sumullen@aol.com.