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2017 Fall Conference Registration (Facility)

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, fill out all information requested, and return, along with the registration fee to:

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

Facility Name
Speciality:
Address
Contact Name
Phone Number
Email
2017 Members $150 – first attendee; $100 - each additional attendee Non-members $200 each
Name & Title
Name & Title (2)
Name & Title (3)
Name & Title (4)
Facility Registration Fees: