2023 Annual Conference Sponsor Registration

Please complete the form below to register for the conference. All fees must be paid online via Credit Card. If you wish to make arrangements to pay via check or voucher please contact the FTNYS office at 518.432.0333.

Sponsor Contact Information

First Name: *

Last Name *

Title

Organization *

Address *

City *

State *

Zip Code *

Phone *

Email *

Please provide a brief description of your agency/organization: *

Please upload your agency/organization logo here: *

Sponsorship Options

Sponship Levels *

Sponsor Scholarships - $ 500.00

Friend of Families Together - $ 1,000.00

Bronze Sponsorship - $ 2,500.00

Leadership Breakfast - $ 3,000.00

Silver Sponsorship - $ 5,000.00

Gold Sponsorship - $ 10,000.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *