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 2006 Conference. Confirmed registration requires receipt of your conference registration payment by the Rural Housing Coalition. Registrations received after October 7, 2006 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 - Best Practices
Track 2 - Main St. Revitalization/Community - Development Tour (Historic Hotel Utica)
Track 3 - Staff Development Institute
Track 4 - Financial Management
Track 5 - Energy Conservation
Track 6 - Housing Counseling *
Track 7 - CHDO Eligible Projects *
Track 8 - Alternative Housing Programs
Track 9 - Cover Your Assets
Track 10 - Community Reinvestment Act
Track 11 - Energy Energy Energy - (Historic Hotel Utica)

    * 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 participants, you are eligible for one free registration This offer is exclusive of
hotel accomodations.

Conference Fees>
Tuesday ( 1 Lunch ) Wednesday ( 1 Lunch and 1 Dinner) Thursday (1 Lunch)
$295 - Member Registration (includes 1 lunch)
$335 - Non-member Registration (includes 1 lunch)
 
 

Wednesday Dinner Event and Keynote Speaker

Please make your meal choices:
Eggplant-encrusted Haddock Herb-encrusted Pork Loin Roast Turkey Vegetarian
 

I want to be a member of the Coalition.
Take Advantage of Member-only Registration Rate!

Organization   $250.00
Individual Member  $50.00
Student   $25.00

Method of Payment

Check made payable to NYSRHC is enclosed

Charge my credit card 
 
Visa (16 digits)  MasterCard (16 digits) 

Expiration Date:
 
Conference Registration Fee 
Membership Amount
Total Amount Due

Please contact  the Coalition before September 30, 2006  if you require assistance covered under the Americans with Disabilities Act, or have any special dietary needs.

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, 2006. No refunds will be made after September 30th.

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