Annual Meeting 2025 – January 8-10

Our Annual Meeting will be held January 8-10, 2025, at the Marriott Marquis in NYC.

• CLICK HERE FOR HOTEL RESERVATION INFORMATION  
• Enter arrival and departure dates and then click ‘SEARCH’
• View the room types that are available for your specified dates and “Select” your desired room type.
• Complete the reservation by filling in your contact and billing information. Fields in bold are required.

If you would prefer to print and mail your registration, you can print and mail the forms linked here:

• Annual Meeting Registration
• Reception Invitation
• Guest Registration
• Exhibitor Registration  
• Sponsorship Form

Annual Meeting Program 
Annual Meeting Speakers  
Continuing Education Link

To register ONLINE for the 2025 Annual Meeting and pay by credit card, please complete the online registration form BELOW.

Annual Meeting

Registration For The Upcoming Meeting is Now Open

Company Name *

Contact Name *

Address *

Address

Address

Address

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Phone Number *

Meeting Registration - Deadline Dec 20; no refunds after Dec 31 - refund request prior to Dec 31 subject to $200 cancellation fee!

Please select each of the seminar registration levels below that you will be purchasing.

Member - $550

2nd Member - $500

3rd Member - $500

4th Member - $500

5th Member - $500

Non-Member - $800

2nd Non-Member - $600

3rd Non-Member - $600

4th Non-Member - $600

5th Non-Member - $600

Guest Registration - Deadline Dec 20; no refunds! Please note that if you sign up for guest registration only, your name/company will NOT be listed on the full seminar attendee list.

Please select each of the guest registration levels below that you will be purchasing.

Wednesday Reception - $250

2nd Person Wednesday Reception - $250

3rd Person Wednesday Reception- $250

Thursday Reception - $250

2nd Person Thursday Reception - $250

3rd Person Thursday Reception - $250

Both Wednesday & Thursday - $450

2nd Person Both Wednesday & Thursday - $450

3rd Person Both Wednesday & Thursday - $450

Exhibitor Registration - Deadline Dec 20; no refunds after Dec 31 - refund request prior to Dec 31 subject to $300 cancellation fee!

Please select each of the exhibitor registration levels below that you will be purchasing.

Member Exhibitor (2 attendees) - $1600

Third Member Exhibitor - $500

Fourth Member Exhibitor - $500

Non-Member Exhibitor (2 attendees) - $1900

Third Non-Member Exhibitor - $600

Number Attending Wednesday Reception

Number Attending Thursday Reception

Reception Sponsorship (includes booklet ad and logo signage)

Sponsors, please email your color ad and logo to Heidi Mahoney at secretary@nyselfinsurance.com.

Please select each of the sponsorship levels below that you will be purchasing.

Gold--includes full page ad (4.5" x 7") - $2000

Silver--includes 1/2 page ad (4.5" x 3.5") - $1300

Total Amount Selected to be Paid at Checkout

Please List all Attendees

Questions or Comments

To become a NYSIA member, please refer to our Membership Application on our website: nyselfinsurance.com or contact Heidi Mahoney, Secretary at secretary@nyselfinsurance.com for more information.

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