... than October 18 or bring this form and payment to the conference with you. Tear at perforation. 78th Annual Fall Tec
Technology Fall Conference Registration Form
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October 26 - 27, 2017 • fallconference.com
Name (please print clearly): ________________________________________ Email: ____________________________________ Home Address: _______________________________________________________________________________________ City: __________________________________________ State: ________________________ Zip: _____________________ School/Organization: ___________________________________________________________________________________ Payment Method:
❑ Cash
❑ Check (personal or school)
❑ Purchase Order
Please note: For multiple attendees on one check, each person fills out this form. Registration is $60.00 (Make check payable to the Auxiliary Services) There are no registration fees for full-time students. Lunch in Cooper or Lakeside Dining Hall is included in your registration fee for both Thursday and Friday. Be our Guest at our 78th Celebration Reception/Dinner at the Lake Ontario Event and Conference Center 26 West First Street, Thursday October 26th, 5 - 9 pm. There will be a cash bar. If you are bringing a guest to dinner there will be a charge of $22.00
Would you like to make a contribution to the Department of Technology Endowment Fund? Every contribution makes a difference in the quality of the Technology programs at SUNY Oswego. Technology Endowment Fund Contribution: $ _____________________ Attendee/Conference Information - Please check appropriate response Conference Days: ❑ Thursday Only
❑ Friday Only
❑ Both Thursday and Friday
Mail your PO/check along with this form to: Department of Technology Or Email:
[email protected] 103 Park Hall Fax: 315-312-3363 SUNY Oswego Oswego, New York 13126 Mail no later than October 18 or bring this form and payment to the conference with you.
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Tear at perforation.
Office Use Only Below
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Please contact Mrs. Teri Davis at 315.312.3011 with payment questions.
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Total: $
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Additional Dinner Guest $22.00 ER
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Technology Endowment Fund Contribution: $
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Registration: $60.00
❑ I will NOT be attending reception/dinner S T AT
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Payment: ❑ Cash
78th Annual Fall Technology Conference Registration Receipt
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fallconference.com We greatly appreciate your attendance & participation. Please let us know if you have any questions, or if we can be of assistance. Have a great conference!
