Membership Form

New York State English Council

Directions:

1. The Online Conference Registration can only be used for Full-Conference Registration, Student Registration and Single Day Registration.

2. Please download the Conference Registration Form PDF for Separate Meal Registration.

2. Click submit & pay.

3. On the payment page, choose the type of registration you are paying for.

4. Pay for your membership with your credit card.

Name

Home Address

City State Zip Code County

Home Phone Number

Name of School or Institution Affiliation

Address

City State Zip Code County

Business Telephone

Email Fax

Check all areas that apply to you and indicate grade responsibility.

Elementary Middle school Secondary College

Teacher Department Chair Librarian Administration

Please check the required boxes in either the Full-Conference Registration, Single Day Registration or Student Registration sections below.

Full-Conference Registration (includes all events, workshops and meals):

Check one:

Member Package $140

Member Renewal Package $170

Nonmember Package $180 (includes $30 membership)

Retiree Member Package $ 90

Retiree Non-member/Renewal Package $110 (includes $20 membership)

Thursday Evening Banquet Meal Choices: meat fish Vegetarian will not attend

Single Day Registration (includes all events and lunch only): Check one: Thursday Friday

Check one:

Member $95 Member Renewal $125 Non-member (includes $30 membership) $135

Student Registration (includes all events, but no meals):

Check one:

Student Conference Package $25 Student Conference Package with Membership $40