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Home
Conference
Conference Info
Registration Form
Registration Rates
Conference Speakers
Hotel Reservations
Conference Program pdf
NYSEC Form W9
Workshop Proposal
Exhibitor & Vendor Info/Registration
Business Advertisement
Presenter Materials
Conference Directions
CTLE
About
Our Mission
Our Board
Social Media
Opportunities
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Member Login
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Membership Basics
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Join NYSEC
Member Login
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Award Applications
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Past Conferences
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Attendees Must Register Online. Use Form Below.
Pay with PayPal or any Major Credit Card Via PayPal or by PO/Check.
Registration form pdf, click here
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How many people are you registering? Select Here
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Registrant #1
Registrant #1 Name
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Last
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Registrant #1: First Time Attendee?
*
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Registrant #1 Position
*
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Administrator
Teacher
Coach
Consultant
Pre-Service
Retiree
Awards Luncheon Guest
Registrant #1 Conference Registration
Click to Select Registration Here
Full Conference: New/Renewing Member $200
Full Conference: Current Member $180
Thursday Only: New/Renewing Member $150
Thursday Only: Current Member $130
Friday Only: New/Renewing Member $150
Friday Only: Current Member $130
Registrant #1 Conference Registration Retiree
Select Here
Full Conference: Retiree New/Renewal $180
Thursday Only: Retiree New/Renewing Member $150
Friday Only: Retiree New/Renewing Member $150
Registrant #1 Conference Registration Pre-Service
Select Here
Full Conference, Includes Membership: $60
Thursday Only: Pre-Service $40
Friday Only: Pre-Service $40
Registrant #1 Awards Luncheon Only
Awards Luncheon Only $50
Lunch Registrant #1
Thursday Luncheon Registrant #1
I Will Attend Luncheon
I Will Not Attend Luncheon
Thursday Luncheon Menu Selection Registrant #1
Chicken Bruschetta, accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Eggplant Napoleon (Vegetarian), accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Friday Awards Luncheon Registrant #1
I Will Attend Friday Awards Luncheon
I Will Not Attend Friday Awards Luncheon
Friday Awards Luncheon Menu Selection Registrant #1
Raspberry Brie Chicken, accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Stuffed Portabello Mushroom (Vegetarian), accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Dietary Restrictions Registrant #1
Gluten Free
Vegan
Other, Specify Below
Please Specify Dietary Restriction
Registrant #2
Registrant #2 Name
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Last
Registrant #2 Email
Register Now for Attendee #2
Registrant #2: First Time Attendee?
*
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Yes
No
Registrant #2 Position
*
Select Here
Administrator
Teacher
Coach
Consultant
Pre-Service
Retiree
Awards Luncheon Guest
Registrant #2 Conference Registration
Click to Select Registration Here
Full Conference: New/Renewing Member $200
Full Conference: Current Member $180
Thursday Only: New/Renewing Member $150
Thursday Only: Current Member $130
Friday Only: New/Renewing Member $150
Friday Only: Current Member $130
Registrant #2 Conference Registration Retiree
Select Here
Full Conference: Retiree New/Renewal $180
Thursday Only: Retiree New/Renewing Member $150
Friday Only: Retiree New/Renewing Member $150
Registrant #2 Conference Registration Pre-Service
Select Here
Full Conference, Includes Membership: $60
Thursday Only: Pre-Service $40
Friday Only: Pre-Service $40
Registrant #2 Awards Luncheon Only
Awards Luncheon Only $50
Lunch Registrant #2
Thursday Luncheon Registrant #2
I Will Attend Luncheon
I Will Not Attend Luncheon
Thursday Luncheon Menu Selection Registrant #2
Chicken Bruschetta, accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Eggplant Napoleon (Vegetarian), accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Friday Awards Luncheon Registrant #2
I Will Attend Friday Luncheon
I Will Not Attend Friday Luncheon
Friday Awards Luncheon Menu Selection Registrant #2
Raspberry Brie Chicken, accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Stuffed Portabello Mushroom (Vegetarian), accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Dietary Restrictions Registrant #2
Gluten Free
Vegan
Other, Specify Below
Please Specify Dietary Restriction
Registrant #3
Registrant #3 Name
First
Last
Registrant #3 Email
Register Now for Attendee #3
Registrant #3: First Time Attendee?
*
Select Here
Yes
No
Registrant #3 Position
*
Select Here
Administrator
Teacher
Coach
Consultant
Pre-Service
Retiree
Awards Luncheon Guest
Registrant #3 Conference Registration
Click to Select Registration Here
Full Conference: New/Renewing Member $200
Full Conference: Current Member $180
Thursday Only: New/Renewing Member $150
Thursday Only: Current Member $130
Friday Only: New/Renewing Member $150
Friday Only: Current Member $130
Registrant #3 Conference Registration Retiree
Select Here
Full Conference: Retiree New/Renewal $180
Thursday Only: Retiree New/Renewing Member $150
Friday Only: Retiree New/Renewing Member $150
Registrant #3 Conference Registration Pre-Service
Select Here
Full Conference, Includes Membership: $60
Thursday Only: Pre-Service (includes Membership)
Friday Only: Pre-Service (includes Membership)
Registrant #3 Awards Luncheon Only
Awards Luncheon Only $50
Lunch Registrant #3
Thursday Luncheon Registrant #3
I Will Attend Luncheon
I Will Not Attend Luncheon
Thursday Luncheon Menu Selection Registrant #3
Chicken Bruschetta, accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Eggplant Napoleon (Vegetarian), accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Friday Awards Luncheon Registrant #3
I Will Attend Friday Luncheon
I Will Not Attend Friday Luncheon
Friday Awards Luncheon Menu Selection Registrant #3
Raspberry Brie Chicken, accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Stuffed Portabello Mushroom (Vegetarian), accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Dietary Restrictions Registrant #3
Gluten Free
Vegan
Other, Specify Below
Please Specify Dietary Restriction
Registrant #4
Registrant #4 Name
First
Last
Registrant #4 Email
Register Now for Attendee #4
Registrant #4: First Time Attendee?
*
Select Here
Yes
No
Registrant #4 Position
*
Select Here
Administrator
Teacher
Coach
Consultant
Pre-Service
Retiree
Awards Luncheon Only
Registrant #4 Conference Registration
Click to Select Registration Here
Full Conference: New/Renewing Member $200
Full Conference: Current Member $180
Thursday Only: New/Renewing Member $150
Thursday Only: Current Member $130
Friday Only: New/Renewing Member $150
Friday Only: Current Member $130
Registrant #4 Conference Registration Retiree
Select Here
Full Conference: Retiree New/Renewal $180
Thursday Only: Retiree New/Renewing Member $150
Friday Only: Retiree New/Renewing Member $150
Registrant #4 Conference Registration Pre-Service
Select Here
Full Conference, Includes Membership: $60
Thursday Only: Pre-Service (includes Membership) $40
Friday Only: Pre-Service (includes Membership) $40
Registrant #4 Awards Luncheon Only
Awards Luncheon Only $50
Lunch Registrant #4
Thursday Luncheon Registrant #4
I Will Attend Luncheon
I Will Not Attend Luncheon
Thursday Luncheon Menu Selection Registrant #4
Chicken Bruschetta, accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Eggplant Napoleon (Vegetarian), accompanied by a Classic Caesar Salad and Raspberry Swirl Cheesecake
Friday Awards Luncheon Registrant #4
I Will Attend Friday Luncheon
I Will Not Attend Friday Luncheon
Friday Awards Luncheon Menu Selection Registrant #4
Raspberry Brie Chicken, accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Stuffed Portabello Mushroom (Vegetarian), accompanied by a Mixed Baby Field Green Salad and a Flourless Chocolate Torte
Dietary Restrictions Registrant #4
Gluten Free
Vegan
Other, Specify Below
Please Specify Dietary Restriction #4
Payment
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Billing Information
Billing Name
First
Last
Billing Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Billing Email
Payment Via PO/Check
Click here for NYSEC Form W9 pdf format
PO# and PO Upload
NOTE: PO# and PO can be emailed at a later date, if desired. Please email to: nysecteach@gmail.com
PO #
PO Upload submit these file types: .doc or .pdf
Drop files here or
Accepted file types: doc, pdf.
A copy of this form
will be emailed to you.
Please include a copy of this form with your payment.
Make check payable to: NYSEC
Mail to: NYS English Council
PO Box 481
Monroe, New York 10949
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