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Registration form
                                                                                     About the presenters:
        NYS-Specific Exam Review Workshop • April 10-11, 2026                        A bout the pr esenters:
        Register ONLINE now at www.nysapls.org OR complete this form today.                      Dr. Joseph  V.R. Paiva,
                                                                                                                  a,
                                                                                                   . J
                                                                                                     oseph
                                                                                                 Dr
                                                                                                                aiv
                                                                                                           .R. P
                                                                                                          V
                                                                                                 is principal and CEO
                                                                                                 is principal and CEO
        NAME: _________________________________________________________
                                                                                                                LLC
                                                                                                 at at  GeoLearn,  LL C
                                                                                                            n,
                                                                                                       eoLear
                                                                                                     G
        ADDRESS: ______________________________________________________                          ( (www.geo-learn.com) )
                                                                                                  www
                                                                                                              n.com
                                                                                                      .geo-lear
                                                                                                 which is an online
                                                                                                 which is an online
        CITY: ___________________________STATE: __________ ZIP: ___________
                                                                                                 provider of professional
                                                                                                 pr o vider of pr ofessional
        WORK #: (____)__________________  FAX #: (____)____________________          and technical education since February
                                                                                                              ebr
                                                                                     and technical education since F
                                                                                                                   y
                                                                                                                uar
                                                                                     2014. He previously served as a
                                                                                     2014. H e pr eviously ser v ed as a
        HOME #: (____)__________________  E-MAIL:  _______________________
                                                                                     consultant in the field of geomatics
                                                                                     consultant in the field of geomatics
                                                                                     and general business, particularly to
                                                                                     and gener al business, par ticular ly to
         Members                                                                     inter national dev elopers, manufactur ers
                                                                                     international developers, manufacturers
         By March 13 th                     After March 13 th                        and distributors of instr umentation and
                                                                                     and distributors of instrumentation and
          1st Time Attendee $379            1st Time Attendee $429                 other geomatics tools. I n that r ole J oe
                                                                                     other geomatics tools. In that role Joe
          Repeat Attendee $329              Repeat Attendee $379                   functioned as C OO at G atewing NV ,
                                                                                     functioned as COO at Gatewing NV,
         Non-Members                                                                 a B elgian manufactur er of unmanned
                                                                                     a Belgian manufacturer of unmanned
         By March 13 th                     After March 13 th                        aerial systems (U AS) for sur v eying and
                                                                                     aerial systems (UAS) for surveying and
          1st Time Attendee $479            1st Time Attendee $529                 mapping during 2010-2011. H e also
                                                                                     mapping during 2010-2011. He also
          Repeat Attendee $429              Repeat Attendee $479                   is a writer in many magazines and
                                                                                     is a writer in many magazines and
                                                                                     journals and  has  been  on  the  “seminar
                                                                                     jour nals and   has   been   on   the   “ seminar
        Payment Method:                                                              cir cuit, ” deliv ering continuing education
                                                                                     circuit,” delivering continuing education
         Check or Money Order Enclosed (make payable to NYSAPLS)                    to geospatial pr ofessionals, as w ell as
                                                                                     to geospatial professionals, as well as
                                                                                                       epar
                                                                                                          ation courses.
                                                                                     technician and exam preparation courses.
                                                                                     technician and exam pr
         Please charge my    VISA    MASTERCARD    AMEX    DISCOVER
        Acct #: __________________________________________________________
                                                                                                             ooks,
                                                                                                                 LS
                                                                                                            r
                                                                                                           B
                                                                                                        C.
                                                                                                 Richar
                                                                                                      d
        Exp. Date: ___/___ Verification Code: __________                                         Richard  C.  Brooks,  LS
                                                                                                 is  a  Land  Surveyor
                                                                                                 is   a   Land   S ur v ey or
        Signature:  _______________________________________________________                      licensed and practicing
                                                                                                             acticing
                                                                                                 licensed and pr
                                                                                                      ew
                                                                                                           or
                                                                                                     N
                                                                                                 in
                                                                                                                 tate
                                                                                                          Y
                                                                                                                S
                                                                                                             k
        Billing Address:  ___________________________________________________                    in  New  York  State
                                                                                                 Licensed in 1984, he is
                                                                                                  icensed in 1984, he is
                                                                                                 L
        Name as it appears on card: __________________________________________       the senior project manager for Control
                                                                                     the senior pr
                                                                                               oject manager for Contr
                                                                                                                  ol
                                                                                     P oint A ssociates, I nc. at their H udson
                                                                                     Point Associates, Inc. at their Hudson
        Return this form along with payment to:
                                                                                     Valley office. Richard has spent his
        NYSAPLS, 146 Washington Ave., Albany, NY 12210                               V alley office. Richar d has spent his
                                                                                     professional career in and around the
        Questions?Please call, (518) 432-4046, fax (518) 432-4055 Or email, info@nysapls.org  pr ofessional car eer in and ar ound the

                                                                                                    egion. Mr
                                                                                       atskill M
                                                                                     Catskill Mountain region.Mr. Brooks is
                                                                                             ountain r
                                                                                                            . B
                                                                                     C
                                                                                                               ooks is
                                                                                                              r
                                                                                     a past president and current member of
        NYSAPLS Event Cancellation Policy                                            a past pr esident and curr ent member of
                                                                                                    alley Land S
                                                                                                             ur
                                                                                                                 ors
                                                                                                                ey
                                                                                          id-H
                                                                                              udson
                                                                                     the M
                                                                                     the Mid-Hudson Valley Land Surveyors
                                                                                                   V
                                                                                                               v
        NYSAPLS will no longer issue refunds for event cancellations, but we have partnered
                                                                                                                 ent
                                                                                       ssociation. I
                                                                                               n addition, he is a curr
                                                                                     A
        with Allianz Global Assistance to provide cancellation insurance. Protect your registration   Association. In addition, he is a current
                                                                                            of: NYSAPLS,
                                                                                     member
                                                                                                        VSLS, NSPS,
        by opting in for the insurance on your conference registration form. Get reimbursed up   member  of: NYSAPLS,  VSLS, NSPS,
                                                                                     NYS GIS Association and the Surveyors
        to 100% if you can’t attend this conference for a number of reasons, including covered   NYS GIS A ssociation and the S ur v ey ors
                                                                                                         r
                                                                                       istorical Society
                                                                                     H
                                                                                                       . B
                                                                                                   . Mr
                                                                                                          ooks is also
        injury, illness, inclement weather, traffic accidents and much more. What is the cost of   Historical Society. Mr. Brooks is also
                                                                                     an
                                                                                                       at
                                                                                                         SUNY
                                                                                                               U
                                                                                                ofession
                                                                                        adjunct
                                                                                               pr
                                                                                                                lster
        Event Ticket Protection for a registrant? The cost of the insurance coverage is 5.75% of   an  adjunct  profession  at  SUNY  Ulster
                                                                                     College, teaching Legal Aspects of Land
        the total registration cost. For example, if your registration totals $500, the price to   College, teaching Legal A spects of Land
                                                                                        v
                                                                                      ur
                                                                                     S
                                                                                                       se M
                                                                                                          anagement.
                                                                                         eying and Land U
        protect your registration would be $28.75. This rate is determined by our 3rd-party   Surveying and Land Use Management.
        Insurance provider, Allianz Global Assistance. NOTE: This percentage rate cannot be
        altered. To purchase the cancellation insurance, you must submit your registration
        payment with a Credit Card online. No other payment options will be available for
        purchasing ticket protection. Register online at www.nysapls.org for more details.
                                      EMPIRE STATE SURVEYOR / VOL. 61 • NO 6 / 2025 • NOVEMBER/DECEMBER   25
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