National Association of Securities Professionals New York Chapter

12th Annual Trustee Education Conference

Conference Registration

Name* Mr. ⁯Ms. Mrs. First Last

Company Name

Billing Address*

Street Address

Address Line 2

City

State / Province / Region Postal / Zip Code

Telephone * - ### - ### ####

Fax - ### - ### ####

Email

Registration Fees

Non-NASP Member
Registration: $700
On Site: $800

NASP Member
Member Registration $500
On Site: $575

NASP Member ID Number Must have Membership ID number to register for NASP Member Rate

Trustee
Registration $150
On Site: $150

Are you a Trustee? * No Yes

How will you pay * Credit Card / PayPal Account Check