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Registration Form | Mail or Fax

Name:__________________________________________
Company:_______________________________________ Email:________________________
Title:____________________________________________
Address:___________________________________________________________________________
City:_________________________ State:_____ Zip:____________________
Phone:_______________________ Fax:_______________________________

 

NYSSA Membership Status (please check the appropriate type below):
___NYSSA Member (please check type below and include your Member ID)          NYSSA Member ID___________

___Regular

___Affiliate

___Non-Primary

___Associate

___Student


___Member of another CFA Institute-affiliated society

Name of Society_________________________________       Member ID_____________



___Nonmember



___Press
Please see NYSSA’s press page for qualification information. Members of the press must attach a business card with the registration form.

 ___Special Offer?  Please specify:__________________________________________________

 

Comments (Please indicate any special dietary needs here): 

 

 

Payment Information:

Please choose:

___Check enclosed payable to NYSSA (mail registrations ONLY)


___Bill my credit card:

___VISA
                         
___MasterCard 

___AmericanExpress

Circle Appropriate Amount  
Before October 23, 2009:
Members      $850 Nonmembers       $1150 
After October 23, 2009
Members      $1000 Nonmembers       $1250 

Print Name (on Card):
Card Number:___________________________________ Exp. Date: ______
Billing Address:__________________________________ Zip:_____________
Signature:_____________________________________________ Total: $__________

Mail or fax completed form with payment to:
NYSSA, 1177 Avenue of the Americas, 2nd Floor; New York, NY 10036-2714
Fax (for credit card payments only): (212) 541-4677  
Inquiries: NYSSA (212) 541-4530

We will send a confirmation of your registration within 3 days via email or U.S. Mail; the latter will include a receipt of payment. If you don’t receive a confirmation, email seminars@nyssa.org or call (212) 541-4530.

You need to use this form to register if:

  • You are paying by check
  • You are an invited guest
  • You are a qualified member of the press (see  Press page for more information)
  • You are entitled to a special discount, for registering for more than one event in a series, a group discount, or you have a discount coupon
  • You are entitled to register at the member rate because you are a member of a CFA Institute-affiliated local society or your company is a co-sponsor of the event.

By registering for and attending this event, you acknowledge that any photographs that may be taken are the property of NYSSA and give your consent to their use in NYSSA’s online and print business communications and marketing.