NYSAS

FORUM CO-SPONSORS & SUPPORTERS REGISTRATION REQUEST FORM

 
Name of the contact person *
Title *
Organization *
Address
Phone Number
Email *
Indicate your Co-Sponsorship or Supporter level below for
appropriate registration fee:


Membership benefits

Co-Sponsor $5,000

Large screen visibility at Forum meeting, front cover placement and 1 full page ad in Forum program book, Forum exhibit space, placement on NYS Ag Society website and biannual publications, 4 free Forum registrations with meals.
Gold $1,000

Large screen visibility at Forum meeting, 1 full page ad in Forum program book, Forum exhibit space, placement on NYS Ag Society website and biannual publications, $20 off 2 registrations and 2 free meals at Forum.
Silver $500

Large screen visibility at Forum meeting, ½ page ad in Forum program book, Forum exhibit space, placement on NYS Ag Society website and biannual publications, $10 off 1 registration and 1 free meal at Forum.
Bronze $250

Mention in the Forum program book, Forum exhibit space, placement on the NYS Ag Society website and biannual publications.
(click on the box to check/un-check)
Attending Lunch or Dinner?
  • Co-Sponsor receives free lunch and dinner for 4
  • Gold Supporter receives 2 free meals
  • Silver Supporter receives 1 free meal
  • Bronze Supporter pays full meal cost
Please indicate preferred name, title, and organization as you would like it to appear on name badge
Participant Name
Title
Lunch
Dinner
Participant Name Title Lunch Dinner
 
Payment Mode & Details
 
Total Amount to Charge:   $0
No registration and/or meal refunds accepted after 12/15. Make hotel reservations separately at Holiday Inn, 441 Electronics Parkway, Syracuse, NY —$92 group rate until 12/16.
 
 


* Click "Register" to complete the registration process.