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REGISTRATION
Labor-Religion Coalition
Conference

Please register. Deadline is extended to May 14.

Cost:
Cost to attend the entire two-day conference is $110.
The option to attend Sunday OR Monday only is also available at a cost of $70. Registration includes all events, materials and meals. Please indicate need for a low-income rate ($25 per day) or for a community scholarship.

Location: NYSUT Headquarters Conference Center, 800 Troy-Schenectady Road, Latham , NY 12110

Housing:
A block of rooms has been reserved for the conference at The Desmond Hotel for Sunday, May 18. Call the Desmond at 518/ 869-8100 and ask for a room reserved for the Labor-Religion Coalition. For additional assistance, please call Lynnette Rodriguez Stec, Labor-Religion’s Office Manager at 518-213-6000, ext. 6294.

Print this form and return to the address below:

Name:_________________________________________________

Organization: ___________________________________________

Address:_______________________________________________

City State Zip:___________________________________________

Phone:_________________________________________________

Fax:___________________________________________________

Email:__________________________________________________

I would like to attend:
The entire two-day conference, May 18 & 19 ($110)

Sunday, March 18 only ($70)

Monday, March 19 only ($70)

Choice of a Sunday 3-hour training:

Please note, availability is based on a first-come first-served basis.

Healthcare NOW for All

 

The Sweatfree Campaign

 

Immigration  

Fair Trade

 

Payment
Enclosed is $_____for conference registration for __ persons.
Please complete a separate form (with workshop choices) for each person.
Payment by credit card or check may be combined for multiple registrants.
Credit Card Number: _______________________________________
Expiration date: ______________
Three digit code from back of card__________

__MasterCard __Visa __Discover __American Express

Signature: _______________________________________________

Check enclosed made payable to Labor-Religion Coalition of New York State, 800 Troy-Schenectady Rd, Latham, NY 12110-2455. THANK YOU.


Americans with Disabilities Act

In accordance with ADA regulations, every effort has been made to ensure that there is equal accessibility for all attendees. Please list any special accommodations or assistive devices needed for participation.


Dietary restrictions:

Please return your registration form to the New York State Labor-Religion Coalition at 800 Troy-Schenectady Road, Latham, NY 12110, or by fax at 518-213-6414.

Last Updated: 05/12/2008
© Labor-Religion Coalition of New York State