First Name        Last Name:

Company Name

Street Address   

City:       State:        Zip:   

Phone # (ex: 55512345678) no hyphens,commas...

Please select the type of business

Sole Proprietor/DBA          Corporation       LLC/LLP         Other

Please note that sole proprietors and contractors without workmens compensation and liability insurance are not eligible to submit a proposal

Please select which informational session you will attend.  Each session will begin promptly at the time specified and it will be held at 1677 Van Vranken Avenue, Schenectady.

August 2, 2010 at 10:00 am          or           5:00pm

You may contact our office at 372-7616 with any questions.