REGISTRATION AND SPONSORSHIP FORMS: Conference on seniors: November 18, 2000 by NATIONAL INDO-AMERICAN ASSOCIATION FOR SENIOR CITIZENS Inc. (NIAASC) --------------------------------------------------------------------- Registration form for the Conference on Seniors on November 18, 2000: (There is NO registration fees) RSVP by November 11, 2000 Name: ----------------------------------------------- Telephone # ( ) ............... ................. Address:----------------------------------------------------------- -------------------------------------------------------------------- zip code................. E-mail address:........................ Please mail to NIAASC 7 Roberta Avenue, Farmingville NY 11738 _____________________________________________________________________ ********************************************************************* _____________________________________________________________________ Sponsorship form for the Conference on Seniors on November 18, 2000 ---------------------------------------------------------------------- Please forward your sponsorship information with check as early as possible since names of the sponsors will be printed in the program brochure: Please check one: Individual sponsor -------- Not for Profit Group ------- Corporate/Other Group .......... Amount: ($50.00) ($100.00) ($250.00) Name: ------------------------------------------------- Telephone # ( ) -------------- --------------- Address-------------------------------------- ---------------------------------------------- ______________________________________________ Display of products and/or literature etc.: Limited space is available to those who wish to display their product or literature during the conference. There is a nominal charge of $200.00 for a table space. Please print your name as you would like it to be printed in the program brochure. Please mail to NIAASC 7 Roberta Avenue, Farmingville NY 11738, with your check payable to NIAASC _______________________________________________________________________________________ _______________________________________________________________________________________ |