Please fill out this form. Then, either submit it or print it (place your cursor in the name field before printing) and mail or fax it to the Coalition to register for the 2004 Conference. Confirmed registration requires receipt of your conference registration payment by the Rural Housing Coalition. Registrations received after September 15 will be assessed a late registration fee of $20.

Registration Form

Name (required): 

Title: 

Agency: 

Street Address: 

City: 

State:  Zip: 

Telephone: 

Fax: 

Email address (required): 

Purchase Order/Voucher #: 
 

Track Selections
Place a check in the box for each track you plan to attend.
Financial Literacy Training for Trainers (Full Day)
Rural Advocates Golf Tournament at Hiawatha
Community Development Bus Tour of Broome and Tioga Counties
Opening Plenary with Philip Mangano
Track 1 - RPC Issues
Track 2 - Staff Development Institute
Track 3 - Plotting the Growth of Your Organization
Track 4 - Supportive Housing
Track 5 - Community Development Issues
Track 6 - Program Development Preliminaries
Track 7 - Revolving Loan Fund Management
Track 8 - Housing Counseling Programs
Track 9 - Housing Rehabilitation Issue
Track 10 - Property Management Regulations
 
 

Conference Special for all  NYS Rural Housing Coalition Members Only 
After registering, three 3-day participants are eligible for one free 3-day registration. This offer is exclusive of hotel accomodations.

Conference Fees
$295 - 3 Day Member Registration (includes 3 lunches and 1 dinner)
$325 - 3 Day Non-member Registration (includes 3 lunches and 1 dinner)

$260 - 2 (consecutive) Day Member Registration (includes 2 lunches and 1 dinner)
$300 - 2 (consecutive) Day Non Member Registration (includes 2 lunches and 1 dinner)
  Monday/Tuesday  Tuesday/Wednesday

$135 - Monday-Only Member and Non-member Registration (1 lunch)
$190 - Tuesday-Only Member Registration (includes 1 lunch and 1 diner)
$215 - Tuesday-Only Non-member Registration (includes 1 lunch and 1 diner)
$155 - Wednesday-Only Member Registration (includes lunch)
$180 - Wednesday-Only Non-member Registration (includes lunch)

Please make your meal choices:
Lunch Tuesday: Chicken Piccata Chef's Salad Tortellini Alfredo
Dinner Tuesday: London Broil Chicken marsala Baked Sole Pasta Primavera

Please check the box and contact the Coalition before September 25, 2004 if you require assistance covered under the
      Americans with Disabilities Act.
Please send me information on becoming a member of the New York State Rural Housing Coalition, Inc. today.
 
 
Conference Registration Fee
NYS Rural Advocates Golf Fee
Total Amount Due

 

Or, return printed, completed Registration Forms to:
David Rustin
NYS Rural Housing Coalition, Inc.
879 Madison Avenue, 2nd Fl.
Albany, NY 12208

Fax: (518) 458-8896

Refund Policy: All cancellations must be made in writing. A full refund will be made to anyone whose cancellation is received by September 15, and 50% refunds are available for cancellations received between September 16 and September 27. No refunds after September 27, 2003 will be made.

Send your comments, questions and suggestions the david@ruralhousing.org.