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*First Name
*Last Name
*Email Address:
* Re-enter Email Address
*Password
* Re-Enter Password
*Main Phone Number:
Mobile Phone Number:
Select your organization type:
*Organization Name:
Job Title, Select the one that BEST describes your role:
*Address:
Address Line 2:
*City:
State
*ZIP:
Instagram handle:
Twitter handle:
Do you wish to receive CTLE credit for NYSCATE events?
Last four of SSN *Needed for CTLE credits
DOB:
NYSCATE has 8 regions with different counties in each region throughout New York. Please review the map and the counties listed in each region before selecting the region your account will be associated.
Please select your NYSCATE Region: