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ABOUT CICATELLI ASSOCIATES INC. (CAI)
NEW YORK STATE
BUREAU OF TOBACCO USE PREVENTION & CONTROL


COMMUNITY ACTIVITY TRACKING

 

 

 

 

 



 

NEW YORK TOBACCO CONTROL
SUSTAINABILITY TRAINING

October 23, 2012

9:00 AM – 5:00 PM

BY INVITATION ONLY

 
 

REGISTRATION DEADLINE

September 21, 2012

Register Online

MEETING INFORMATION
LOCATION Hilton Garden Inn http://www.hiltongardeninn.com/en/gi/hotels/index.jhtml?ctyhocn=ALBTYGI
ADDRESS 235 Hoosick Street
Troy, NY 12180
 
RESERVATIONS Phone (518) 272-1700
BOOKING CODE CAHG Cicatelli Associates
RATE A block of rooms is reserved at the state rate of $96.00 at the Hilton Garden Inn.

IMPORTANT NOTES

  • Participants are responsible for their own hotel reservations and arrangements. Please remember to bring your tax exempt form for check-in.
  • At least one person from each of the three community contracts (Cessation Center, Community Partnerships, and Reality Check) should plan to attend the training.
  • Registration will start at 8:30am, including beverage breakfast coffee and tea.
  • Lunch buffet will be served.

For Information: 
If you have questions, please contact Tracey Birmingham at 518-474-1515 or txb06@health.state.ny.us.

 

REGISTRATION FORM

Deadline to register: September 21, 2012

1.Complete all of the information below. Enter your name as you would like it to appear on your name tag during training and provide your professional contact information. When finished, click the SUBMIT button.

2.After completing your registration, a “Thank You” screen will appear providing you with a record of your registration. Print this for your records.

3.You will receive a confirmation email approximately 2 weeks prior to the meeting that includes meeting information, location and directions.

4.Questions regarding registration? Contact the TCTP at TCTP@cicatelli.org or 212.594.7741 ext. 283.
Your Name:
Position:
(select One)		 Project Director/Manager
Community Outreach
Project Coordinator
Volunteer
NYS TCP Staff
Other
 
Modality:
(select One)		 Youth Action (Reality Check)
Community Partnerships
Cessation Centers
 
Agency:
Address:
City:
State:
Zip:
Area - Region
(Select One):		 Capital
 Region:
   Southern
   Northern 		Central
 Region:
  Southern
  Northern
       Central		 Western
 Region:
  Rochester
  Buffalo		 Metro
 Region:
  NYC/LI
  Hudson
       Valley
Do you have any special needs to attend?
(interpreter, wheelchair, etc)
  
 
Telephone:
Fax:
e-mail:

Be sure you have completed all requested information
before clicking the submit button.
 


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