Celebrating the Past, Sustaining the Future
New York State Association of Family and Consumer Sciences
Centennial Celebration Conference
October 16-17, 2009
High Peaks Resort
Lake Placid, New York 12946

Registration Form
Must be postmarked on or before September 15, 2009
Late fee of $50.00 If Post Marked After September 15, 2009
Return to: Carol Hanley, 230 Fair Oaks Ave, Rochester, NY 14618-1806
(585) 442-6308 thanley@netacc.net
Make Checks payable to NYSAFCS – Centennial 2009 (no purchase orders will be accepted with out a personal check to hold your place)
Name_________________________________________________________________
Address_______________________________________________________________
City, State, Zip__________________________________________________________
Telephone__________________Email (for confirmation) ________________________

Registration Fees Cost Guest/Walk in meals Cost
Professional/ Exhibitor $200 Friday Lunch 30.00
Students/retirees/guests $150 Friday Dinner 60.00
Presenter $150 Saturday Breakfast 20.00
Late fee after September 15 $50 Saturday Lunch 30.00
Friday Banquet Dinner Choices (Choose one)
____Prime Rib (slowly roasted with Au Jus, herb roasted potato and fresh vegetable)
____Maple Mustard Chicken (boneless, marinated in rosemary, garlic, chives, Dijon mustard and Adirondack maple syrup, herb roasted potato and fresh vegetable)
____Wokchar Salmon (Asian rub, with honey ginger glaze, herb roasted potato and fresh vegetable)
____Stuffed Eggplant (with marinara and vegetable medley)

Guest/Walk in Name ______________________________________
Guest Friday Banquet dinner choice________________________________________

Total Due ________________________________

If you need help making travel arrangements contact:
Plaza Travel
3 School Street
Latham, NY 12110
Travel agent – Jean 518-785-333

Conference Community Service: Please bring non-perishable food items (or cash) to be donated to the Lake Placid Food Pantry. We would also accept any canvas tote bags for the Food Pantry so they can reduce the use of paper and plastic bags.

Exhibitors: $200 is for your space, one 8’ foot skirted table and all conference events. If you need 2 spaces add $50 for each extra space. Electricity ___yes ___no

 

New York State Association of Family & Consumer Sciences
Celebrating the Past, Sustaining the Future
Centennial Celebration Conference
Friday, October 16, 2009 to Saturday, October 17, 2009
LODGING RESERVATION FORM

Package Rates are quoted per person, per stay
SINGLE DOUBLE TRIPLE QUAD
$ 246.00 $ 188.00 $ 170.00 $ 161.00
Package Rates include 1 Night’s Lodging on Friday, 1 Buffet Breakfast (Saturday), 2 Lunches (Friday & Saturday), a Morning Refreshment Break, an Afternoon Refreshment Break, A One hour Cash Bar Cocktail Reception and Banquet (Friday) and service charges on all Food & Beverage.

To confirm your reservation, a Deposit of $150.00 is due by Wed. 9/16/2009 in the form of a Check or Credit Card.
Reservations received after Wednesday, September 16, 2009 will be accepted upon availability.
Cancellations must be received by Wednesday, September 30, 2009.
After Wednesday, September 30, 2009, refunds will not be given for cancellations.
Telephone Reservations must be guaranteed by a major Credit Card.
Final payment arrangements for your stay will be required upon arrival in the form of Cash, Credit Card or Purchase Order.
Rates for Early Arrival before Friday, October 16, 2009 or for Late Departure after Saturday, October 17, 2009 will be quoted upon request and subject to availability.
Check-in time is 4:00 p.m. and Checkout time is 11:00 a.m.
Transportation suggestions available at www.highpeaksresort.com

Name ______________________________________ Roommate _______________________________________
Company/Affiliation __________________________ Email: ___________________________________________
Street ______________________________________ City/State/Zip ____________________________________
Telephone # _________________________________ Fax # ___________________________________________
Please submit only ONE form per room with all roommates listed on ONE form

□ Single □ Double

ARRIVAL __________________________________
DEPARTURE _______________________________
Check $________________
CC# _____________________________ Exp ______
I have read and agree with the above Reservation Policies.

X_____________________________________________

 

Submit form and deposit by Wednesday, 9/16/09 to: High Peaks Resort
2384 Saranac Avenue
Lake Placid, NY 12946
Telephone 518-523-4411 Fax 518-523-1120

Confirmation of your Reservation will be faxed or mailed using the information provided on this form.
Package Total $_______________
Conf#__________ Agent _________________ Date_______EXEMPTION CERTIFICATE - TAX ON OCCUPANCY OF HOTEL ROOMS
STATE OF NEW YORK-Operators of hotels, etc. should not accept this certificate unless the officer or employee presenting it shows satisfactory credentials.
TO BE RETAINED BY VENDOR AS EVIDENCE OF EXEMPT OCCUPANCY.

Vendor: High Peaks Resort, Lake Placid, New York 12946 Date: _______________________________________________
This is to certify that I am an employee of the State of New York or one of its political subdivisions; that the services or materials purchased on the date set forth below will be paid for by the State or a political subdivision; and that such charges are incurred in the performance of my official duties.
Dates of Occupancy:_____________________________________ Signature:____________________________________________
Governmental Unit:______________________________________ Title:________________________________________________
NOTE: A SEPARATE EXEMPTION CERTIFICATE IS REQUIRED FOR EACH OCCUPANCY AND FOR EACH REPRESENTATIVE OR EMPLOYEE