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Registration form
NYS-Specific Exam Review Workshop • September 22-23, 2023 About the presenters:
Register ONLINE now at www.nysapls.org OR complete this form today. Dr. Joseph V.R. Paiva,
is principal and CEO
NAME: _________________________________________________________
at GeoLearn, LLC
ADDRESS: ______________________________________________________ (www.geo-learn.com)
which is an online
CITY: ___________________________STATE: __________ ZIP: ___________
provider of professional
WORK #: (____)__________________ FAX #: (____)___________________ and technical education since February
2014. He previously served as a
HOME #: (____)__________________ E-MAIL: ______________________
consultant in the field of geomatics
and general business, particularly to
Members international developers, manufacturers
By September 1 st After September 1 st and distributors of instrumentation and
1st Time Attendee $329 1st Time Attendee $379 other geomatics tools. In that role Joe
Repeat Attendee $279 Repeat Attendee $329 functioned as COO at Gatewing NV,
Non-Members a Belgian manufacturer of unmanned
By September 1 st After September 1 st aerial systems (UAS) for surveying and
1st Time Attendee $429 1st Time Attendee $479 mapping during 2010-2011. He also
Repeat Attendee $379 Repeat Attendee $429 is a writer in many magazines and
journals and has been on the “seminar
Payment Method: circuit,” delivering continuing education
Check or Money Order Enclosed (make payable to NYSAPLS) to geospatial professionals, as well as
technician and exam preparation courses.
Please charge my VISA MASTERCARD AMEX DISCOVER
Acct #: __________________________________________________________
Exp. Date: ___/___ Verification Code: __________ Richard C. Brooks, LS
Signature: _______________________________________________________ is a Land Surveyor
licensed and practicing
Billing Address: ___________________________________________________
in New York State
Name as it appears on card: __________________________________________ Licensed in 1984, he is
Return this form along with payment to: the senior project manager for Control
NYSAPLS, 146 Washington Ave., Albany, NY 12210 Point Associates, Inc. at their Hudson
Questions?Please call, (518) 432-4046, fax (518) 432-4055 Or email, info@nysapls.org
Valley office. Richard has spent his
NEW! Option to Protect Your Registration* professional career in and around the
We now offer cancellation insurance through Allianz Global Assistance, a third party provider. Catskill Mountain region.Mr. Brooks is
The insurance is ONLY available by registering for this event on our website with a credit card
payment. Register online at www.nysapls.org for more details. a past president and current member of
the Mid-Hudson Valley Land Surveyors
NYSAPLS Cancellation Policy
Payment must be made in full upon registration. Purchase orders not accepted. Cancellations Association. In addition, he is a current
submitted in writing 30 days or more prior to the event, will be granted a 100% refund, less a 10% member of: NYSAPLS, VSLS, NSPS,
processing fee. After the 30 day window, I understand that my event ticket purchase is intended to NYS GIS Association and the Surveyors
hold my reservation. Therefore, 0-29 days prior to the event, registration fees are non-refundable Historical Society. Mr. Brooks is also
unless I obtain the cancellation insurance provided by Allianz Global Assistance, a third party an adjunct profession at SUNY Ulster
provider, during online checkout. Register online at www.nysapls.org for more details.
College, teaching Legal Aspects of Land
In accordance with Title III of the Americans with Disabilities Act, we invite all registrants to Surveying and Land Use Management.
advise us of any disability and any requests for accommodations to that disability. If you have any
questions, please call the NYSAPLS office at 518-432-4046.
By submitting this form, I acknowledge the cancellation policy above and understand I do not
have an option to obtain cancellation insurance.
*Signature: _______________________________________________________________
EMPIRE STATE SURVEYOR / VOL. 59 • NO 4/ 2023 • JULY/AUGUST 25