NYSAC Regional Seminar Registration Options -Please, complete one form per attendee- * NYSAC Member $25 Non-Member $35 If you are not a member of NYSAC, please call the NYSAC Office at (518) 434-1134 for a membership application or click the following link: MEMBERSHIP APPLICATION. Membership dues must be submitted with your conference registration. Cemetery Name / Organization * Attendee Name (Please, complete one form per attendee) * 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 CONFERENCE REGISTRATION EXHIBITOR TABLE REGISTRATION Optional and in addition to the conference registration fees stated above. Exhibitor table set-up time begins at 8a.m. *If using electricity please bring your own extension cords. SPONSORSHIP REGISTRATION SPONSORSHIP OPTIONS General Sponsor - $100 Includes your logo on all printed materials, sponsor PowerPoint Gold Sponsor - $300.00 Includes your logo on all printed materials, sponsor PowerPoint and an exhibit table. OtherOther *Platinum PLUS includes exclusive sponsorship of a coffee break. **Gold PLUS includes shared sponsorship of the Annual Banquet Cocktail Hour. PAYMENT INFORMATION Pay by I will be paying by Credit Card/Paypal Online (if your online payment has been processed and you require a refund, your refund amount will equal the total registration fee minus the PayPal fee) I will be paying by check Total Due $ If you have indicated that you will be paying by check. Please read the following information to submit a payment with the registration form. Please make checks payable ONLY to: New York State Association of Cemeteries. Note: Please do not use acronyms such as NYSAC or NYS Association of Cemeteries. Mail this form and the check to the following address: New York State Association of Cemeteries 111 Washington Avenue, Suite 501 Albany, NY 12210 If you have any questions or concerns in regard to this registration or the conference please call the NYSAC office. Phone (518) 434-1134 Fax (518) 427-0452 info@nysac.com If you are human, leave this field blank.
