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 2005 Conference. Confirmed registration requires receipt of your conference registration payment by the Rural Housing Coalition. Registrations received after October 7, 2005 will be assessed a late registration fee of $20.

Registration Form

Name (required): 

Title: 

Agency: 

Street Address: 

City: 

State:  Zip: 

Telephone (required): 

Fax: 

Email address (required): 

Purchase Order/Voucher #: 
 

Track Selections
Place a check in the box for each track you plan to attend.
Track 1 - Organizational Stability and Growth
Track 2 - Board Development
Track 3 - Creative Single Family Financing*
Track 4 - Community Change
Track 5 - Housing Rehabilitation v. New Construction
Track 6 - Services for People With Special Needs*
Track 7 - Real Estate Development 101
Track 8 - HOME Program Implementation
Track 9 - Community Development
Track 10 - Staff Development Institute
Track 11 - Supportive Housing

    * These conference tracks are underwritten by HUD, and conference attendees may participate in these tracks
without charge, if they are not attending other conference events.
 
 

Conference Special for all  NYS Rural Housing Coalition Members Only 
After registering three 2-day participants, you are eligible for one free 2-day registration This offer is exclusive of
hotel accomodations.

Conference Fees
$205 - Tuesday Member Registration (includes 1 lunche and 1 dinner)
$230 -  Tuesday Non-member Registration (includes 1 lunch and 1 dinner)

$165 - Wedensday Member Registration (includes 1 lunch)
$190 - Wednesday Non-member Registration (includes 1 lunch)

$285 - 2 Day Member Registration (Includes 2 lunches and 1 dinner)
$325 - 2 Day Non-member Registration (Includes 2 lunches and 1 dinner)

Meals-only Options
$25 - Tuesday Luncheon and Annual Meeting
$35 - Tuesday Banquet and Keynote
$25 - Wednesday Lunch
 

Please make your meal choices:
Tuesday Lunch:  Herb-crusted Haddock Herb-crusted Chicken Vegetarian
Tuesday Dinner: Sesame Tuna Chicken Tuscany Prime Rib Vegetarian
Wednesday Lunch: Steak Salad Chicken Strip Salad Portobello Salad

Please check the box and contact the Coalition before September 30, 2005 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.
 
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 30, 2005. No refunds will be made after September 30th.

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