2010 NYS Truck Safety & Education Conference
Registration Form

For Symposium Details Click Here!

If you are an exhibitor Register Here!
Symposium Registration:  Register early to get discounted rate!  Deadline March 9, 2010
Earlybird-Before March 9, 2010 $190 After March 9, 2010 $210
Number of Attendees:
First Name:
Last Name:  
Title:
Name/Nickname for Badge:
Company:
Address
(Street, City, State, Zip):
Phone:    Fax:
Email:
Total: $210.00
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 11th, 2010
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 11th, 2010**
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

828 Washington Avenue
Albany, New York 12203

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