Conference Registration

Thursday, June 20, 2024
New York Marriott Marquis
1535 Broadway New York, NY 10036
8 AM - 6:30 PM

	PRICE	QUANTITY	TOTAL
PLATINUM 12 Tickets Exhibitor Table Program Ad Logo on Print Materials & Website Corporate Membership	$25,000 460 12	Additional Tickets:	0 Check here if you’d like to exhibit
GOLD 10 Tickets Exhibitor Table Logo on Print Materials & Website Corporate Membership	$15,500 460 10	Additional Tickets:	0 Check here if you’d like to exhibit
SILVER 6 Tickets Exhibitor Table Logo on Print Materials & Website Corporate Membership	$8,500 460 6	Additional Tickets:	0 Check here if you’d like to exhibit
BRONZE 4 Tickets Exhibitor Table Logo on Print Materials & Website Corporate Membership	$6,000 460 4	Additional Tickets:	0 Check here if you’d like to exhibit
EXHIBITOR 2 Tickets Exhibitor Table Corporate Membership	$3,800 2		0
Nonprofit Member Ticket(s) (15 OR MORE) Group tickets for nonprofits and government agencies that are members of the Supportive Housing Network of New York: * required If you are a member and don’t see your agency listed, please contact Ashanti Lee.	$245		0
DOWNSTATE NONPROFIT MEMBER Individual ticket(s) for existing downstate (NYC, Long Island, Westchester and all Affiliate) Supportive Housing Network of New York nonprofit members; please select your organization's name from the dropdown menu below: * required If you are a member and don’t see your agency listed, please contact Ashanti Lee.	$290		0
UPSTATE NONPROFIT MEMBER Individual ticket(s) for existing Supportive Housing Network of New York upstate nonprofit members; please select your organization’s name from the dropdown menu below: * required If you are a member and don’t see your agency listed, please contact Ashanti Lee.	$245		0
GOVERNMENT Individual Ticket(s) for government staff; please select your agency's name from the dropdown menu below: * required If you are a government agency and don’t see your agency listed, please contact Ashanti Lee.	$290		0
Nonprofit Non-Member Ticket(s) Individual ticket(s) for nonprofit organizations that are not Supportive Housing Network of New York members	$365		0
Corporate Member Ticket(s) Individual ticket(s) for Supportive Housing Network of New York corporate members; please select your organization’s name from the dropdown menu below: * required If you are a member and don’t see your agency listed, please contact Ashanti Lee.	$465		0
Corporate Non-Member Ticket(s) Individual ticket(s) for for-profit organizations that are not Supportive Housing Network of New York members	$565		0
Individual Ticket(s) Individual tickets for individual(s) that are not Supportive Housing Network of New York members	$245		0
ADDITIONAL DONATION Whole dollar amounts only			$
You must select a registration item TOTAL DUE			0

Organization Name	Agency Name is required. Please enter full organization name; do not use acronyms.
Organization Address	Agency address is required
Organization City	Agency city is required
Organization State	Agency state is required
Organization Zip	Agency zip is required
Contact First Name	Contact First Name is required
Contact Last Name	Contact Last Name is required
Contact Phone	Contact phone is required. Enter a complete phone number.
Email	Email is required. Not A Valid Email
Confirm Email	Email confirmation is required. Emails must match

PAYMENT CONTACT

Name	Email	Phone
Paymnent Contact Name is required	Paymnent Contact Email is required Not A Valid Email	Paymnent Contact Phone is required

Name	Title	Corporation/Organization	Email	Phone
Sponsor Contact Name is required	Sponsor Contact Title is required	Sponsor Contact Organization is required	Sponsor Contact Email is required Not A Valid Email	Sponsor Contact Phone is required

EXHIBITOR CONTACT

Name	Title	Corporation/Organization	Email	Phone
Exhibitor Name is required	Exhibitor Title is required	Exhibitor Organization is required	Exhibitor Email is required Not A Valid Email	Exhibitor Phone is required

REGISTRATION CONTACT

Name	Email	Phone
Registration Contact Name is required	Registration Contact Email is required Not A Valid Email	Registration Contact Phone is required

If known, please insert attendee names and email addresses (optional) below. If you have additional names, need to make edits, or are unsure who will be attending right now, please send names and email addresses (optional) to Nicole Elton by June 6, 2024. Any questions or concerns can also be directed to Nicole.

First Name	Last Name	Agency Name	Email Address	Pronouns (optional)	Does this attendee have accessibility needs?

PAY NOWPAY LATER

Credit Card

* *

Card Number

* Card number is invalid.

Expiration Date

MM * * YY * *

Card CVV2 Code

* *

Visa/MC: 3 digits in signature strip on back of card to the right of the (partial) card number.

Amex: 4 digits on front of card above the card account number.

Please review your sponsorship choice carefully.

Please note: Online registration for our conference closes on Thursday, June 6th, 2024. All registrations are binding as of close-of-business June 6th. You will be billed for the total number of tickets reserved as of June 6th. All no-shows will be invoiced unless you cancel before this date, you may also choose to substitute attendee names.

Please review your sponsorship choice carefully.