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2017 Fall Conference Registration (Vendor)

NYSAASC
2017 Fall Conference and Vendor Fair
September 14th-15th 

The Otesaga Resort Hotel
Cooperstown, NY

Complete the online registration below or download this form and return along with the registration fee to:

NYSAASC
PO Box 8
Elma, NY  14059
Tel (716) 809-1030  Fax (716) 677-4163

 

All Representatives must be registered for the conference to be present at your assigned table/booth. A six (6’) foot table space will be assigned to each Vendor.

 

Vendor / Company Name
Product/Service:
Address:
Contact Name:
Contact Phone Number:
Contact Email:
Membership Status
Name and Title:
Name and Title (2):
Name and Title (3):
Name and Title (4):
Fall Conference Vendor Fee:(1)