2019 NY StateWide Senior Action Council Convention Registration

ATTENTION

Convention Dates: October 15 - 17, 2019

Location: Holiday Inn, 232 Broadway, Saratoga Springs, NY 12866

Hotel accomodations are included in your package 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.

Questions, Call 518-703-2617

Name *

First Name Last Name

Name of roommate if registering for double room

First Name Last Name

E-mail

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Commuters: Please choose a convention package

Full Package G: 3 days, reception and 4 meals Member: $180 Non Member $230 Package H: Tuesday with reception Member: $35 Non Member: $66 Package I: Wednesday, 2 meals (lunch and dinner) Member: $105 Non Member: $155 Package J: Wednesday lunch Member: $55 Non Member: $105 Package K: Wednesday Awards, dinner only Member: $50 Non Member: $50

Overnight: Please choose a convention package

FULL Package A: Single, 2 nights, + opening day reception and 4 meals Member: $435/person Non-Member: $500/person FULL Package B: Double, 2 nights, + opening day reception and 4 meals Member: $295/person Non-Member: $370/person Package C: Single, Tues. night hotel, + opening reception, Wed. bkfst, lunch; Member: $255/person Non-Member: $330/person Package D: Double, Tues. night hotel, + opening reception, Wed. bkfst, lunch; Member: $185/person Non-Member: $260/person Package E: Single, Wed. night hotel + Wed. lunch, dinner, Thurs bkfst Member: $265/person Non Member: $335/person Package F: Double, Wed. night hotel + Wed. lunch, dinner, Thurs bkfst Member: $210/person Non Member: $270/person

Wednesday Lunch Options, choose one

Cheese Tortellini/Cream Sauce Grilled Sirloin Salad

Wednesday Dinner Options, choose one

Turkey Fish Tomato Basil Pasta

Breakfast on Wednesday and Thursday is buffet style, no choice needed.

Payment via *

Check Credit Card

Once you complete the registration and submit your application, please make check payable to:

NY StateWide Senior Action Council 275 State Street, Albany, NY 12210 -or -

Payment via credit card, call 518-703-2617 for more information.

2019 Annual Convention Registration