2026 Conference Registration Form

HHCANY 79th Conference and Trade Show Attendee Registration May 4th and 5th, 2026

The Saratoga Hilton — 534 Broadway, Saratoga Springs, NY 12866
Full Name*

First NameLast Name
Badge Name*
NYS Registration Number 140000 —
Expiration Date
Spouse/Companion
Spouse/Companion Badge Name
Firm Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Cell
E-mail*
example@example.com
Hearing Aid DispenserAudiologistENTStudentStaff
M.S.M.A.Ph.DAu.DBC-HIS (Write Last 4 of SSN# Below*)ACACCC-AF-AAAOther
*Last 4 of SSN# for BC-HIS
YesNo
Other State Association:
NBC-HIS/IIHISASHAAAAOther
IHSASHAAAAADANYSSHLAOther
Dietary Restrictions (vegan, kosher, gluten-free, lactose-free) **Requests Must Be Submitted by April 7th**
HDCP AccessTelecoilVision Impairment SeatingOther
Hotel Reservations

Saratoga Hilton Hotel Reservations are the Responsibility of the Attendee. Registered Attendees are Entitled to the Special Room Block Reservations at:

https://book.passkey.com/go/HHCANY2026

Hotel Reservations Must be Made by April 7, 2026
Registration Fees - Registration Deadline is April 20, 2026

Member rates apply to 2026 HHCANY members in good standing at the time of registration and/or IHS members of another state's IHS Chapter (indicate which state; other than New York).

Not a Member? Not a Problem: Join HHCANY Here
$300
*Which Other State's IHS Chapter
$500
$125
Total Conference Registration Fees:*
$ __________
Payment by Check:

Please SUBMIT THIS FORM (click the Submit button below) and send check payments (payable to HHCANY, Inc.) to:

Hearing Health Care Alliance of New York, Inc.
130 Washington Ave.
3rd Floor North Suite A
Albany, NY 12210

Payments by Credit Card:

Please SUBMIT THIS FORM (below) and use THIS LINK to pay
CheckCredit Card (Use Link Above)
Should be Empty:

HHCANY 79th Conference and Trade Show Attendee Registration May 4th and 5th, 2026