Please choose your registration choice below. Be sure to indicate all registrants names.

Qty: Members Registration: $75.00 per person
Member Name
(if more the one please enter all name separated by commas)

Qty: Government Representatives/Not for Profit: $75.00 per person
Gov/Non Profit Name
(if more the one please enter all name separated by commas)

Qty: Non-Members Registration: $175.00 per person
Non-Member Name
(if more the one please enter all name separated by commas)

Qty: Check here if you wish to become a NYSAFAH member for $500.00 per person and attend this event for free. Membership is good for one year. (New Members Only)

New Registrant Name
(if more the one please enter all name separated by commas)

Space is limited, register early!

Billing Info:
Name on card

Address on credit card account

City     State      Zip

Telephone   Fax (optional)

Email

Please note, no online orders can be placed without payment in full with your MC, Visa or Amex card.

You will not receive notification of receipt or payment. If needed, verification can only be received via telephone by calling at 718-432-6940.*****