47th Annual Public Affairs Seminar Attendee Name (Please fill out one form for each attendee) * Cemetery Name / Organization * Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email * Phone Number * Fax REGISTRATION OPTIONS Registration Options * All-Inclusive Two Day Registration (Includes All Meals & Reception) - $275 Spouse or Guest Two Day Registration - $90.00 Tuesday Program Only with Reception/Dinner - $150.00 Wednesday Program Only (Includes Breakfast/ Lunch) - $95.00 If you are not a cemetery or supplier member of NYSAC, please call the NYSAC Office at (518) 434-1134 for a membership application. Membership dues must be submitted with your conference registration. Sponsorship Options $500 Sponsorship OtherOther As a sponsor, your company's name will be included in the agenda distributed at the Seminar, as well as prominently displayed at the cocktail reception. In Addition, your company will be publicly acknowledged at the opening of all formal sessions. Cemetery Operations or Administration Questions Please write questions above or email Brendan Boyle at bjb@fwc-law.com. PAYMENT INFORMATION Pay by * I will be paying by Credit Card/Paypal Online I will be paying by check Total Due $ *All registration forms are due by April 22, 2024. *Registration will not be refunded unless NYSAC is notified 48 hours prior to the conference. *Please send hotel reservation and hotel payment to The Crowne Plaza, not to the NYSAC Office. Hotel Guarantee Cut-off Date is Monday, April 15, 2024. If you do not reserve a room within the block, then you will not receive the NYSAC rate or benefits. Call the Crowne Plaza at 800-448-3500 to make your reservation. Guaranteed Reservation ID: ASC Click HERE to book your room with The Crowne Plaza. Please make checks payable ONLY to: New York State Association of Cemeteries ** Please do not use acronyms such as NYSAC or NYS Association of Cemeteries. IF PAYING BY CHECK SEE BELOW Mail this form and payment to: New York State Association of Cemeteries 111 Washington Avenue, Suite 501 Albany, NY 12210 If you have any questions please call the NYSAC office. Phone (518) 434-1134 Fax (518) 427-0452 info@nysac.com www.nysac.com Website/URL If you are human, leave this field blank.
