TRI-STATE CONFERENCE

New York - New Jersey - Connecticut


June23, 24 & 25, 2002

OMNI HOTEL

NEW HAVEN, CONNECTICUT

       LODGING ASSISTANCE FORM

A limited number of scholarships are available for those needing assistance with conference lodging expenses for Sunday and Monday nights only. These will be awarded on a first come-first serve basis, provided the following criteria are met:

  • Must be a currently certified cps technician with National AAA 
  • Must send check for conference registration fee with this lodging request
PLEASE PRINT OR TYPE:
Name:
Organization:
Address:
City, State, Zip:
Phone: Fax:
E-mail:
Technician/Instructor ID # Expires:
Single:  ____               Double: ____ Smoking: ___ Non-smoking:___
Other occupants sharing same room:
Special Needs:
  • You will receive notification of acceptance from the Governor's Traffic Safety Committee as soon as your application is processed and a confirmation from the hotel will follow.
  • Do not call the Omni Hotel, a reservation will be made for you.
  • If you plan on arriving on Saturday, you will be responsible for Saturday night's lodging and should make your own reservation for that night only.
  • You will be responsible for all personal expenses such as phone calls, movie rental, food service, etc.
  • Notify the GTSC of cancellations at least two weeks prior to the conference.

 Applications must be received by April 15, 2002.

For additional information, please contact Debbie Lotito at (518) 473-7708

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