HLAA-NYSA 2022 Conference Registration

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Event Dates: September 16-18, 2022
Event Address: 88 Ridge Street, Glens Falls, NY 12801
Contact us at NYSASC2022@gmail.com
*NOTE: There are 4 sections to this form and to pay by credit card you will be taken to a PayPal portal after submitting this form. After registering you will also receive an email with the discount code and link for hotel reservations in case you need one.

Email *

First Name *

Last Name *

The name of the business or organization you will represent at the Conference, if any.

Individual Attendee Registration *

One Individual Attendee - $75

Dinner Ticket for Saturday ONLY - $0 (Choose your ticket and meal option below.)

One Individual Attendee @ no charge due to Silver, Gold or Platinum Sponsorship level - $0

HLAA Chapter Affiliation. Name of chapter:

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