NEW YORK CAMPUS COMPACT REGISTRATION FORM

A confirmation email and an invoice will follow within a week of registration

No refunds honored a week prior to the event

Questions? Please contact NYCC at: 607-255-2366

First Name
Last Name
Conference Name
Nov 19- Columbia University
Institution
Title
Name to Appear on Name Badge
Street Address
City
State
Zip Code
Email Address:
Phone Number

Membership Status

For a list of current NYCC members, please visit:
http://nycc.cornell.edu/current_members.html

 NYCC Member
Non-Member
Is it ok to distribute your contact
information to other attendees? 		Yes
No

A confirmation email and an invoice will follow within a week of registration

No refunds honored a week prior to the event

Questions? Please contact NYCC at: 607-255-2366