SC12 Preliminary Program_SC08 Preview Notice - New York Public ...

NYPWA’S 143 R DANNUAL SUMMER CONFERENCEJULY 8-11, 2012REGISTRATION INSTRUCTIONS1. Complete the Conference Registration form (upper portion) with all applicable information, and return the form to the New YorkPublic Welfare Association office with your voucher, check, or credit card information.2. Meals ARE included with overnight hotel packages at The Saratoga Hilton. If you want to order meals only, and do not needlodging, use the “Meals Order Form” below. Send it, with payment, directly to the NYPWA by Friday, June 8, 2012. Pleasenote: meals are NOT included with the cost of conference registration; they must be purchased separately. Overnight hotelpackage meal tickets will be available at The Saratoga Hilton Registration Desk under the name listed on the hotel registrationform. Tickets purchased with the Meals Order Form below will be available at the NYPWA Registration Desk.3. Carefully read the Hotel Reservation Policy, noting that the cut-off date for hotel registration is Friday, June 8, 2012.4. Complete the Hotel Registration form with all applicable information — be sure to check the correct rooming package and returnthe form to The Saratoga Hilton.CANCELLATION POLICY:Refund of registration fee, less a $15 administrative fee, will be made only when cancellation is received in writing and postmarked by June 22, 2012.NYPWA CONFERENCE REGISTRATIONBy After 6 th LDSSJune 8 June 8 Registrantr Full Conference $154.00 $169.00 FREEr One-Day $101.00 $109.00 FREEPlease note that meals must be purchased separately if you are notpurchasing a room package at The Saratoga Hilton.PAYMENT OR VOUCHER MUST ACCOMPANY REGISTRATION FORMName _______________________________________________Title ________________________________________________County/Agency _______________________________________Address _____________________________________________City, State, Zip ________________________________________Phone __________________ Email ________________________Payment Type: rCheck rVoucher rCredit Cardr MasterCard r VISA Exp.: ________Number: ______________________________MEALS ORDER FORMIf you are not ordering a hotel package, all meals must be purchased individually through the NYPWA by completing thisMEALS ORDER FORM. Please return the completed form with payment directly to the NYPWA.Name: __________________________________________________Title: _____________________________________________County/Agency: __________________________________________ Address: ___________________________________________Phone: _______________________ Fax: _______________________ City, State, Zip: ___________________________________PRICESELECTIONMONDAY, JULY 9Breakfast $23.00 rLunch $33.00 rDine-Around Meal Voucher $35.00 rTUESDAY, JULY 10Breakfast $23.00 rLunch $30.00 rDinner Buffet $51.00 rWEDNESDAY, JULY 11Breakfast $23.00 rTOTAL AMOUNT ENCLOSED: ________Please state any special dietary needs: rKosher r Vegetarian r Other: _________________________Please submit conference registration and/or meals form with payment to:NEW YORK PUBLIC WELFARE ASSOCIATION • 130 WASHINGTON AVENUE • ALBANY, NEW YORK 12210PHONE: (518) 465-9305 • FAX: (518) 465-5633