civicrm - Families Together in NYS

Configure

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.

Vendor Profile

First Name *

Last Name *

Job Title

Organization *

Additional Exhibitor Names

Phone *

Email Address *

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

Special Requests/Accommodations e.g additional chairs, electrical outlets, restroom accessible, shading area etc.

The information you provide will NOT be shared with any third party organizations.

Thank you for getting involved in our campaign!

Exhibitor Fees

If you have a discount code, enter it here

Exhibit Table *

FTNYS Chapter - $ 175.00

Not-for-Profit / Small Business - $ 250.00

Commercial Business - $ 375.00

Additional Tables *

One Additional Staff Member *

FTNYS Chapter - $ 175.00

Not-for-Profit / Small Business - $ 250.00

Commercial Business - $ 375.00

None - $ 0.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *