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NYAPSA CONFERENCE REGISTRATION FORM
Print the form below and mail it with your payment. Complete one form per registrant please.

Fill in your name, title, and organization as you would like it to appear on your conference name tag.

Name: _________________________________________________

Title: __________________________________________________

Organization: __________________________________________

Address: _______________________________________________

Phone: ____________________________________  Email:  _______________________________

Please indicate the meal function(s) you will be attending:
       __ Lunch, Sunday Oct. 20       __ Continental Breakfast, Monday Oct 21        __ Lunch, Monday Oct. 21

 If you require a vegetarian meal check here: ___
                          
                                     
REGISTRATION FEES
  [NOTE: Hotel reservations must be made directly with the Hilton Garden Inn - see info here]

                             FULL CONFERENCE REGISTRATION:
       Postmarked by Sept. 20:               Postmarked after Sept. 20:
       Member:             o $130.00             Member:             o $150.00
       Non-Member:     o $160.00            Non-Member:     o $180.00

                                   ONE DAY REGISTRATION:
      Postmarked by Sept. 20:               Postmarked after Sept. 20:
      Member:            o $100.00              Member:            o $120.00
      Non-Member:    o $135.00              Non-Member:    o $155.00

If registering for one day only, which day will you be attending?
       __ Sunday         __ Monday

Total amount enclosed:    _______

Make check payable to:  NY Association of Pretrial Service Agencies

Mail this form with your check or voucher to:
Aida Tejaratchi, NYAPSA Treasurer
c/o CJA
299 Broadway, 4th Floor
New York, New York 10007


                                  Questions? Contact Craig McNair at (585) 454-7350, cmcnair@monroecounty.gov
Copyright © 2019 New York Association of Pretrial Service Agencies (NYAPSA). All Rights Reserved.
                                                                                             
  • HOME
  • WHO WE ARE
  • PRESIDENT'S LETTER
  • BOARD OF DIRECTORS
  • NYS PRETRIAL RELEASE SERVICES STANDARDS
  • NEWS IN PRETRIAL
  • PAST NEWSLETTERS
  • PAST CONFERENCE PRESENTATIONS
  • JOIN NYAPSA!