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NYSSIU
NYSSIU Board
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NYSSIU Board
Meetings
Memberships
Updates
Legal Updates
Legislative Updates
Sponsorship
Contact
Regular Sponsorships
Your Name (required)
*
First
Last
Single Event or Multiple Events
*
Single Event
Multiple Events
Employer
*
Work Address
*
Your Email (required)
*
Work Phone
*
Cell Phone
*
Job Title
*
Supervisor's Name
*
E-Signature
*
Sponsorship Type
*
Meeting Sponsor $500.00 USD
Break/Lunch Sponsor $400.00 USD
Meeting Exhibitor $300.00 USD
Website Sponsor $250.00 USD
Select Events
*
Meeting Sponsor -- $360 per event
Lunch Sponsor -- $280 per event
Booth Sponsor -- $200 per event
How Many Events
*
Please enter a number greater than or equal to
2
.
List the events for which you want multiple sponsors:
*
Today's Date
*
MM slash DD slash YYYY
*
I have read the above criteria for NYSSIU membership and warrant that I qualify for regular or associate membership.
*
My full time assignment is to an SIU within an insurance company of a self-insured corporation.
*
I understand this application is subject to acceptance by the Board of Directors and further that if my employment duties change so as to fall outside the requirements for membership, my membership in the organization shall terminate.
*
I hereby make application for membership in the New York State Chapter of Special Investigation Units, Inc., in accordance with its Constitution and By-Laws and agree to be bound thereby.
Credit Card
*
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