Section 1 of 1 in this document

NYSERDA Event Request Form

Please complete and submit this form to request NYSERDA's participation in an event.

Please note: Partially completed information cannot be saved, be sure to have all details with you before beginning the form. For the best form completion experience, use the Google Chrome browser. Upon submission, your screen will display a confirmation and tracking number to print or save. Refer to this tracking number to check the status of your request.

Requests must be received a minimum of 30 days prior to the event date for consideration. Please attach all supporting event materials and be as descriptive as possible. If you have questions about this form or NYSERDA's event procedures, please send an email to events@nyserda.ny.gov.

* Required field

Request For (check all that apply):

Exhibit

Speaker

Sponsorship

Event Details

Event Title

Event Start Date and Time

Event End Date and Time

Venue Name

Detailed Description of Event

How will NYSERDA benefit from participating?

Target Audience

Approximate Expected Number of Attendees

Is the event open to the public?

Yes

Is registration required?

Yes

Registration Link, Email Address or Phone Number to Register

Registration Due Date

Attendee Admission Cost

Event Organizer Information

Company Name

Website

Phone

Phone Extension

If NYSERDA participates in this event, should the event be promoted on NYSERDA's Events Calendar web page?

Yes

Sponsorship Information

Requested Sponsorship Amount ($)

Sponsorship Details:

Exhibit Information

Exhibit Cost ($)

Exhibit/Booth Details:

Speaker Information

Topic of Presentation

Date and Time of Presentation

Length of Presentation (minutes)

If Known, Request a Specific Speaker:

Is submission of a presentation required?

Yes

Presentation Due Date

Presentation Details:

Is the submission of a speaker biography required?

Yes

Biography Due Date

Biography Details:

Requestor Information

Is the Requestor the same as the Organizer?

Yes

Requestor Company Name

Requestor Email

Requestor Phone

Phone Extension

Additional Details or Remarks

Supporting Documentation

Upload (s)

Recaptcha Response

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Tracking Number

You will be provided with a Tracking Number upon submission.