(Please print clearly. Use one form per attendee.)

Full Name: Nickname:

ADDITIONAL EVENTS Phone: Email: Will this be your first-time attending NYSAR’s Business Meetings? (circle one)

Yes No

Event Name


Fee Total

Saturday, 1 p.m. - 5 p.m. Sunday, 9 a.m. - 12 p.m. Sunday, 1:30 p.m. - 3 p.m. Sunday, 3:30 p.m. - 5 p.m. Monday, 9 a.m. - 10 a.m. Monday, 10:30 a.m. - 11:30 a.m. Monday, 7:15 p.m. - 11 p.m. Tuesday, 8 a.m. - 9:30 a.m.

Ombudsman Training*


Appraisal CE session*


Legal Update*


Real Estate Investing Made Simple, Profitable and Fun! CE Class


The Art of Personal Safety*


Instructor Development Program - It’s Show Time!*


RPAC Karaoke Night


New York Metro Area Flood Insurance Update*


M&T Lunch & Learn: “Renovation for REALTORS ® – Rehab Lending and Your Business”

Do you have any disabilities which require special accommodations, including provisions for auxiliary aids/ services? If so, please use this space to identify your needs. Or, contact Staci Fecura at 518.463.0300 x211 or via email at sfecura@nysar.com.

Tuesday, 12 p.m. - 1 p.m.


YPN Happy Hour

Tuesday, 5 - 6 p.m.


I wish to make a $10 donation to the NYS Real Estate Education Foundation I wish to make a $10 donation to the NYSAR Housing Foundation

(this is an optional donation)


(this is an optional donation)


RPAC disclaimer: Contributions are not deductible for federal income tax pur- poses. Contributions to RPAC are voluntary and used for political purposes. The amount suggested is merely a guideline and you may contribute more or less than the suggested amount. You may refuse to contribute without reprisal and the Na- tional Association of REALTORS or any of its state associations or local boards will not favor or disfavor any member because of the amount contributed. 70 percent of each contribution is used by the State PAC to support state and local political candi- dates. Until your state reaches its RPAC goal, 30 percent is sent to National RPAC to support Federal candidates and is charged against you limits under 2 U.S.C. 441a; after the state reaches its RPAC goal, it may elect to retain your entire contribution for use in supporting state and local candidates. Photography release statement: By registering for the NYSAR Business Meetings, you grant permission to NYSAR, its employees, agents and assigns to take and use your photo/video image/likeness in any NYSAR materials (print/digital media, online uses, email blasts etc.) for an indefinite period of time without compensation. NYSAR shall own all rights, including copyrights in and to the photo/video media. Cancellation Policy: Registrations for the paid CE sessions may be canceled and payment will be refunded up until Friday, September 20. After Septem- ber 20, no refunds will be given.

*Pre-registration required by Wednesday, September 18.


Total amount to be charged to your credit card: $ Charge my (circle one): Visa MasterCard AMEX Discover Credit Card #: Security Code: Expiration Date: Print Name as it appears on card: Authorized Signature: Billing Address (if different):

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