the Association of Building and Zoning Code Enforcement Officers in and near Chautauqua County, New York
1st Annual
Western Southern September 27, 28, 29, 2010
Limited Seating – Pre registration required – No walk-ins
18 hours of In-Service Credit
New York State Training ID # NY____________________ (Do not use Social Security Number)
FDID Number __ __ __ __ Architect/PE ID________________________(AIA/PE credits pending)
Student Name: Last ______________________________ First ___________________________ MI____
Mailing Address: ____________________________City ___________________State _____Zip_______
Phone Number (____)__________ Cell Number (____)__________ Fax Number (____)____________
Title: __________________________Municipality(s)/Firm: ____________________________________
E-mail_________________________ (indicate accurately, i.e. upper/lower case, all dots, etc)
Student Signature________________________________ Date _________________
REGISTRATION FEE: 3 Day - $250.00 member $300.00 non – member
Per Day $100.00 member $125.00 non member
All vouchers and purchase orders are required net 30 days. Registrant is responsible for payment.
Deadline for registration is August 27, 2010 Payment is required with registration.
Program Schedule Subject to Change Without Notice
AMOUNT ENCLOSED: $________________Check # ___________Voucher # __________
Make Checks Payable to: WSTBOA EDUCATIONAL CONFERENCE
Only:Rec’d Date:________ Paid Date:_________ Reg #: ____________
Return upper portion with payment to:
Allan Zurawski, Treasurer Fax 716-363-0058
WSTBOA Conference Phone 716-366-9858 days
342 Central Ave Phone 716-366-8376 evenings
Hotel Reservations courtesy of
Email:stay@chautauquasuites.com
Website: www.chautauquasuites.com
Special room rate has been offered for this Conference.
Room Rate: $69.00 per room per night
Check with hotel for availability.
Call Hotel directly to make reservations. Please mention you are making reservations for the Western Southern Tier Building Officials Educational Conference
Note: Supply tax exemption certificate for government entities
On Thursday September 30, 2010