NYSASIC - Forms

New York State

Association of

Self-Insured Counties

Invites you to its

Fall 2011 Conference

September 28 – September 30, 2011

at the

Sheraton Syracuse University Hotel & Conference Center

801 University Avenue

Syracuse, NY 13210

FORMS

Membership Forms

Click on this button to get membership form

Conference Forms

Tenative Fall Agenda

Hotel Reservation Form

Commuter Meal Form

Continue Education

Municipal Forms	.........................................	Vendor/ Associate Forms
Municipal Registration Form		Vendor Conference Registration
Municipal Scholarship Form		Exhibitor Registration Form
		Booklet Ad Sponsorship Form
		Event Co Sponsorship Form

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Amy Poff

56 Main Street

Owego NY 13827

Email: poffa@co.tioga.ny.us

Fax is (607) 223-7074