2024 NY StateWide Senior Action Council Convention Registration

Mastering the Power of Aging

Showcase your products and services at StateWide's Annual Convention. This will be an in-person event at the Embassy Suites in beautiful Saratoga Springs, NY.

This is a specific time allocated in the convention schedule solely for attendees to visit booths and speak with exhibitors.

Showcase your products and services at StateWide's Annual Convention. Make connections with attendees and key professionals looking to learn more about your products and services.

Participants include seniors from all over New York State, senior service providers, caregivers and policymakers.

TABLES WILL BE PROVIDED.

Venue: Embassy Suites, 86 Congress St, Saratoga Springs, NY 12866

Exhibit Hall Date: October 22, 2024

Exhibit Hall Time: 1:00 PM - 2:00 PM (Set-up starts at 12:00 PM)

Reserve your space by: October 11, 2024

Call 518-703-2617 or visit our Website at
nysenior.org for more information.

Please Choose One*

Charitable organization or Government Agency ($250 for Cash/Check Discount / 257.55 for Credit Card Users )Health Insurance company, business entity and all others ($500 for Cash/Check Discount / 514.80 for Credit Card Users )

Company Name*

Company E-mail

Company Phone Number*

Area CodePhone Number

Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Website

What will you be promoting at this event?*

Will you require electricity at the Exhibit Hall?*

YesNo

Primary Contact Name*

First NameLast Name

Position Title*

Example: Outreach Coordinator

Primary Contact Email*

example@example.com

Primary Contact Direct Phone Number*

Area CodePhone Number

Fax Number

Area CodePhone Number

PAYMENT METHOD

To pay by check: Mark "check" on the next question. Please make check payable to: NY StateWide Senior Action Council. Then, mail check to: Gail Myers, 46 Commonwealth Dr., Glenmont, NY 12077. Press submit.

To pay by card: Mark "Credit card" on the next question. Fill out this form with your card information, then press submit.

QUESTIONS? Call 518-703-2617 / email Gail at gail@nysenior.org

Payment Via*

Check/Money OrderCredit Card

Total Cost

USD

Calculation

Total Cost (Credit Card User)

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

2024 CONVENTION EXHIBIT HALL REGISTRATION