Exhibitor Registration Form:

Thank you for choosing to register on-line for the Western Regional Conference. On-line registration is only available if you will be paying with a credit card or a po/voucher.

If you need to pay with a check or other payment method please mail in registration to our office at PO Box 612, Latham, NY 12110. Please return to www.nysta.org to get a registration form to print out and mail in with payment.

* 1. Contact Information:

* 2. Product/Service:

* 3. Representative #1 Name:

* 5. Representative #2 Name:

* 7. Representative #3 Name:

* 10. My exhibit will consist of: (check all that apply)

* 12. Group Membership (please list up to three names):

* 13. Total Due:

* 14. Sponsorship Opportunities

$1,000 Premier Sponsorship
Company logo on all email announcements
Verbal recognition on-site
Company logo on sign displayed at registration
Complimentary registration for two (2) company representatives and booth
Three (3) minute presentation of new products or services on-site
Complimentary NYSTA Group Membership (up to three people) for 2018 ($345 value)
Two (2) complimentary sponsorships for the NYSTA ShortCUTT Newsletter for 2018

$750 Speaker Sponsorship
Company logo on all email announcements
Verbal recognition on-site
Company logo on on-site signage in education sessions
Complimentary registration for one (1) company representative and booth
Complimentary NYSTA Individual Membership for 2018 ($130 value)
One (1) complimentary sponsorship for the NYSTA ShortCUTT Newsletter for 2018

$500 Lunch Sponsorship
Company logo on all email announcements
Verbal recognition on-site
Company logo on on-site signage during lunch

$350 Speaker Sponsorship
Company logo on all email announcements
Verbal recognition on-site
Company logo on sign displayed at registration

$200 AM Break Sponsorship
Company logo on all email announcements
Verbal recognition on-site
Company logo on on-site signage during AM break

* 16. Credit Card Information:

* 17. PO/Voucher Information:

Refund Policy - Cancellations received prior to March 5 will be assessed a $20 cancellation fee. Refunds will not be issued after March 5 or for no-shows. Printing deadline for signs is March 1, 2018.

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