2012 NYS Truck Safety & Education Conference
Registration Form

For Symposium Details Click Here!

If you are a sponsor, exhibitor or advertiser  Register Here!
Symposium Registration:  Register early to get discounted rate! 
By February 24, 2012 (Early Bird) - $200
After February 24, 2012 - $220
Number of Attendees:
First Name:
Last Name:  
Title:
Name/Nickname for Badge:
Company:
Address
(Street, City, State, Zip):
Phone:    Fax:
Email:
Total: $220.00
List Additional Attendees:
Table control
Payment Information: Credit Card:  
Name on Card:  
Card #:  Expires: /   
Security Code:  
(Last three digits of series of numbers located on the back of the card,
required for VISA and MasterCard)

Which best describes your business?  Check all that apply.
Do you transport Hazardous Materials?            
What is your position?
How far did you travel to attend the Symposium?
 

Rooms must be reserved by March 15th, 2012
Hotel Information:

Albany Marriott
189 Wolf Road
Albany, NY 12205
Ph: (518)458-8444
Fx: (518)458-7365

Room Rates:
$119.00/Night (Per room + taxes)

**Rates Not Guaranteed After March 15th, 2012**
Reservations may be made by calling (800)443-8952 and referencing the NYS Truck Safety & Education Symposium and Safety Exhibition Block..


New York State Motor Truck Truck

828 Washington Avenue
Albany, New York 12203

Phone: (518) 458-9696
Fax: (518) 458-2525