New York Cyber Security and Engineering Technology Association
Spring 2016
April 14th – 15th, 2016
Buffalo State, Buffalo, NY
Registration Form
Name:
College and Department
Address:
City, State, Zip:
Telephone:
Fax:
E-mail:
Cost:
(for confirmation)
early (pre-April 1st)
Late (post- March 31st)
Student (does not include banquet)
Retiree
Banquet Guest
One Year NYSETA Membership Dues
Total
Payment:
Check enclosed ( )
$130
$140
$20
$60
$60
$20
$
Pay at Registration ( ) Please fax your registration form to (716) 878-3033 or
Scan document and e-mail to: niescisa@buffalostate.edu
Please make checks payable to NYSETA SPRING 2016. If one check is to cover multiple registrations, please send a list of those
persons with your check.
Conference Hotel: Salvatore’s Grand Hotel (http://salvatoresgrand.com); $119/night, please bring your sales tax hotel exemption
form from your institution. Please contact the hotel directly. A block of rooms have been reserved for NYSETA.
Will you be present for?
Thursday
Brunch
Lunch
Tour: Richard-Olmsted Center
Banquet
Friday
Please mail registrations to:
Breakfast
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Dr. Slade Gellin
Buffalo State
Engineering Technology Department, TECH 126
1300 Elmwood Avenue
Buffalo, NY 14222
(716) 878-6017 (main office)