2025 Annual Meeting Manual Registration

AAUW-NYS 2025 Annual Meeting: Manual Registration Form

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First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Preferred Name on Badge

Are you an AAUW Member?

Yes

Affiliation

Branch Position

If applicable (i.e. President, Treasurer, etc)

Would you like to be contacted about roommate-matching for shared hotel rooms?

Yes

Dietary Requirements

Accessibility Requirements

Do you plan on attending the Capitol Tour or Nanotech Tour on Friday afternoon?

Capitol Tour

Nanotech Tour

Neither

Photo Release

By registering for the AAUW-NYS Annual Meeting, I grant permission to the American Association of University Women – New York State (AAUW-NYS) to photograph, record, and use my image, likeness, and voice in any media format, including but not limited to photographs, videos, and audio recordings.

I understand that these materials may be used for promotional, educational, or informational purposes, including but not limited to AAUW-NYS’s website, social media, newsletters, and other publications. I acknowledge that I will not receive any compensation for the use of these materials and that AAUW-NYS holds all rights to the content.

I agree

Payment by Check

Please mail your check for $100 to:

Latasha Elder

79 Bellehurst Drive

Rochester, NY 14617

We will be in touch to confirm your registration when we receive your check. If you have any questions, please contact comms@aauwnys.org