2024 CONFERENCE REGISTRATION FORM Tuesday October 1st – Thursday October 3, 2024Embassy Suites by Hilton Syracuse Destiny USA311 Hiawatha BoulevardWest Syracuse, New York 13204 First Name Last Name Middle Intital Municipality or Company Name Title of Position Mailing Address City State Zip Code Email Address Contact Phone Number Select your Conference Registration Level $300.00 - Full Conference Registration - Member $350.00 - Full Conference Registration- Non Member $150.00- Single Day Registration [Tuesday - October 1, 2024] $150.00- Single Day Registration [Wednesday - October 2, 2024] $150.00- Single Day Registration [Thursday- October 3, 2024] NYS Training ID Number FDID Number Select your Conference Payment Option Voucher Purchase Order Check PayPal Credit Card "click here" to SUBMIT YOUR REGISTRATION FORM You will also receive a confirmation email for your submitted reservation form "Click" on the link to pay by PayPal or Credit Card $300.00 Full conference NYSFMIA member $350.00 Full conference Non-member $150.00 Single day registration All 2024 conference attendees will receive a COMPLIMENTARY2025 New York State Fire Marshals & Inspectors Association membership MAKE CHECKS PAYABLE TO: NYSFM&IA Government Vouchers / Purchase Orders or Checks will be accepted and can mailed to: New York State Fire Marshals & Inspectors AssociationPO Box 86 – West Henrietta, New York 14586 CONFERENCE REGISTRATION DEADLINE OR TO CANCEL & RECEIVE A FULL REFUND SEPTEMBER 25, 2024