PAYMENT AND SUBMISSION
Please return completed registration form and payment by April 15, 2026
Payment by check:
Print this form and mail it with a check to:
HHCANY
130 Washington Avenue, 3rd Floor North, Suite A
Albany, NY 12210
Payment by credit card:
Print this form for your records and go to our website store: www.hhcany.org/store to make a payment by credit card.
Click the Submit button below to submit this form to HHCANY.
Questions? 📞 Phone:518.949.7121 ✉️ Email: hhcany@hhcany.org