2022 NY StateWide Senior Action Council Convention Registration

2023 Annual Convention Registration
CONVENTION DATES: September 11-13, 2023

LOCATION: Holiday Inn, 232 Broadway, Saratoga Springs, NY 12866
- Hotel accomodations are included in package A-F pricing. StateWide will make your reservations.
- If you are not a member of StateWide, become a member today for $20 and receive the discounted member price for this event.
- New! For each first-timer you bring to convention, you will get a gift certificate towards a 1 year membership that you can use for yourself in 2024 or after or as a gift.
- Registration Deadline with accompanying full payment by August 15, 2023
QUESTIONS, Call 518-703-2617
Name*

First NameLast Name
If you have a preference, name of roommate if registering for double room

First NameLast Name
First time registrant

I am registering for the first time
Name of the person who encouraged you to register

First NameLast Name
E-mail
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose a convention package.*

Overnight FULL Package A: Single, 2 nights, + opening day reception and 5 meals Member: $470/person; Non-Member: $545/personOvernight FULL Package B: Double, 2 nights, + opening day reception and 5 meals Member: $360/person; Non-Member: $435/personOvernight Package C: Single, Mon. night hotel, + opening reception, Tues. breakfast, lunch Member: $375/person; Non-Member: $450/personOvernight Package D: Double, Mon. night hotel, + opening reception, Tues. breakfast, lunch Member: $195/person; Non-Member: $270/personOvernight Package E: Single, Tues. night hotel + Tues. lunch, dinner, Wed. breakfast, lunch box Member: $290/person; Non-Member: $365/personOvernight Package F: Double, Tues. night hotel + Tues. lunch, dinner, Wed. breakfast, lunch box Member: $235/person; Non-Member: $310/personCommuter Full Package G: 3 days, reception, 5 meals Member: $190; Non-Member $265Commuter Package H: Monday with reception Member: $60; Non-Member $85Commuter Package I: Tuesday, 2 meals (lunch & dinner) Member: $115: Non-Member: $200Commuter Package J: Tuesday, 2 meals (breakfast, lunch); Member: $80; Non-Member: $160Commuter Package K: Tuesday, Awards Dinner only Member: $75; Non-Member: $75
Check Box for your Lunch and Dinner Choice. Breakfasts are buffet style - no choice needed.
Tuesday Lunch Options, choose one

Eggplant ParmesanBBQ Chicken
Tuesday Dinner Options, choose one

Roast TurkeyBaked SalmonStuffed Pepper (vegan)
Check Box if you have dietary restrictions

Gluten Free
Payment via*

CheckCredit Card
Once you complete the registration and submit your application, please make check payable to: NY StateWide Senior Action Council.

Mail check to: Gail Myers, 46 Commonwealth Dr., Glenmont, NY 12077

Payment via credit card, call 518-703-2617 for more information.
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2023 Annual Convention Registration