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.

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* 1. Contact Information:

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* 2. Product/Service:

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* 3. Representative #1 Name:

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* 5. Representative #2 Name:

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* 7. Representative #3 Name:

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

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

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* 13. Total Due:

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* 14. Sponsorship Opportunities

$1,500 Premier Sponsorship
Multiple sponsorships available
Company logo on all email announcements
Verbal recognition on-site
Company logo on sign displayed at registration
Complimentary registration for three company representatives and booth ($325 value)
Three minute presentation of new products or services on-site
Complimentary NYSTA Group Membership (up to three people) for 2019 ($375 value)

$1,000 Conference Sponsorship
Multiple sponsorships available
Company logo on all email announcements
Verbal recognition on-site
Company logo on sign displayed at registration
Complimentary registration for two company representatives and booth ($245 value)
Complimentary NYSTA Individual Membership for 2019 ($140 value)

$750 Speaker Sponsorship
Multiple sponsorships available
Company logo on all email announcements
Verbal recognition on-site
Company logo on on-site signage in education sessions
Complimentary registration for one company representative and booth ($165 value)
Complimentary NYSTA Individual Membership for 2019 ($140 value)

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

$300 AM Break Sponsorship
Multiple sponsorships available
Company logo on all email announcements
Verbal recognition on-site
Company logo on on-site signage during AM break

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* 16. Credit Card Information:

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* 17. Would you like us to forward you a receipt?

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* 18. PO/Voucher Information:

Refund Policy - Cancellations received prior to March 18, 2019 will be assessed a $20 cancellation fee. Refunds will not be issued after March 18, 2019 or for no-shows. Printing deadline for signs is March 15, 2019.

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