NY Metro ASHI

The Founding Chapter

On-line Registration                                                                         

 

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Fill out the form below to register for the 2017 Victor J. Faggella Memorial, NY Metro ASHI Annual Seminar. 

We accept PayPal and credit cards, as well as checks.  (Paying online is preferable to checks).

If you pay by check, you will still need to send your check to the address below:

Victor G. Faggella
78 Pond Valley Road
Woodbury, CT 06798
Attn: NY Metro Seminar
 
AFTER 9/1, PLEASE DO NOT MAIL YOUR PAYMENT - PLEASE USE PAYPAL/CREDIT CARD or PAY AT THE DOOR (credit cards will be accepted). 
 

New for 2017!!  Refer someone who has not attended the Seminar in five (5) or more years and get a $50 rebate!  For the rebate to be valid, the following conditions must be met:
  • The referring party MUST pay via Credit Card or PayPal
  • The referral MUST complete the registration form with the referring party's name
  • BOTH parties must attend for both seminar days
The referring party will be credited back within one month after the completion of the seminar.
 
This program is open to all that attend.  There cannot be any cross-referrals or multiple referrals (both parties CANNOT refer the other - only one referral discount per person).

 

Contact Information

First Name*
MI.
Last Name*
Title
Company
Street*
City/Town*
State* (2 letter abbreviation)
Zip*
Telephone* (no spaces or dashes)
FAX (no spaces or dashes)
E-mail*
Member/Candidate #
Days Attending*

(Both Days, Friday Only or  Saturday Only)

 
Referred By  (need for referral rebate only)
Method of Payment*   Check PayPal/Credit Card (PayPal account is NOT needed)
Are you an ASHI Member?*
State Licensed/Number? NY    CT    

NJ     MA

Are You a Professional Engineer?*  

                                    *Required Fields

Please hit "SUBMIT REGISTRATION" only ONCE and wait for the confirmation page.  The Server is VERY SLOW and may take awhile (several minutes).  Even if it appears that the registration is not working, do not submit twice.  Please be patient - a confirmation page will appear.

                

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Copyright 2004 NY Metro Chapter
Last modified: July 14, 2017