2019 NYSCDEA Water Quality Symposium Registration From, March 12-15, Double Tree by Hilton Hotel Syracuse
Please keep track of your registration fees as you fill out the form; it will not be totaled for you. You can press the back button at the BOTTOM of the page to go back and check your registration.

For questions regarding registrations, courses and hotel, please contact Chastity Miller at Franklin County SWCD 518-651-2097 or cmiller@fcswcd.org

Once your submit your registration you will receive a copy via email from google forms. This will be your copy and your invoice. YOU WILL NOT RECEIVE ANOTHER INVOICE.

Make Checks Payable To: NYS CDEA, Inc.

Credit Card Payments: Call Kristin White at Seneca County SWCD 315-835-6030

Mail Payments To: NYS CDEA, 2041 U.S. Route 20, Suite 2, Seneca Falls, NY 13148

Registration is Due by: 4:00 PM Friday, February 1, 2019
Payment is Due by: Friday, February 22, 2019

Email address *
First Name *
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Last Name *
Your answer
Dietary Options
Organization *
County *
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Position/Title *
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Billing Address *
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Phone Number *
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Handicap Access
Special Needs-Please indicate any special need so that the hotel can accommodate. Refrigerators are in each room.
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Conference Attendance *
Roommate-Full Conference Double Option
Enter your roommate's name
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Division Meeting
If you are going to be attending your Division's meeting on Wednesday, please indicate your Division below. All others can leave this blank.
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