Configuration of Tables (Circle one) All prices are in US dollars.

• Single Table        $100.00       (Non-Profit or For Profit)
• Two Tables          $200.00       (Non-Profit or For Profit)
• Three Table         $300.00       (For Profit)
• Four Table           $400.00       (For Profit)
• Included in the exhibitor fee is three personnel. For each additional personnel there is a $10 fee.
  _______ @ $ 0 = $0.00 (max 3)
  _______ @ $10 = ___________

Preferred locations will be allocated when complete payment is received. To guarantee your space at the Conference a non-refundable fee of at least 50% must be paid in advance.

Amount Paid in US funds $______________ Please make check payable to NYSSSA

I will need electricity.     yes      no

Please indicate the names of exhibit personnel that will attend. A Saturday lunch will be provided for them.
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If you or any of your personnel would be interested in presenting a workshop at the conference, please contact us and we will send you an application. Workshop Leader deadline is December 15, 2000.
For more information please contact Richelle Siejak at (716) 856-7495 or nysssa@mail.com