2017 WORKERS' COMPENSATION CONFERENCE
You May Pay by Credit Card or Check
- Complete and submit this secure, online registration form with your credit card payment, to immediately secure your place at the 2017 Worker's Compensation Conference.
You'll also get the chance to sign up for the OC 1K Fun Run / Walk benefiting the Kids' Chance of Maryland, Inc. scholarship fund. Your participation supports the children of the state's seriously injured workers.
The run / walk is open to all ages and abilities and will be held Tuesday afternoon, September 19, starting at 2:00 pm on the beach in front of the Clarion Resort. T-shirts are available for anyone donating $20 or more and prizes will be awarded!
- If mailing a check payment, you must still submit this registration form. An invoice will be automatically emailed to you after submittal. Please mail payment within 5 days of registering online. Include your payment, your Order Number in memo field, and a copy of your emailed invoice. Mail to:
1701 K Street NW, Suite 650
Washington, DC 20006
ID # 52-1353216
REGISTRATION FEES (Per Person Rates)
| ||By 8/15/2017||After 8/15/2017|
|4 Or More*||$200||$200|
* 1 to 3 (including Yourself) @ $225.00 each; 4 or More @ $200.00 each
** Only ONE Companion allowed per registrant. Companions are persons who accompany the registered individual for personal reasons as distinguished from someone with a professional
interest in workers' compensation. Companion registration includes social events only.
(Companions are not allowed to attend the trade show exhibits or CE sessions and will
be issued GUEST Badges that must be worn at all times.)
** Service fee charges are calculated by credit card companies based on transaction amounts and are not collected by the MWCEA.
Print Deadline: All registrations, sponsorships, exhibitor, advertising, contributions and artwork must be postmarked or submitted, and paid, by 8/15/2017 to guarantee placement in the MWCEA Conference Book.
- NO REFUNDS -
Please complete as much of the following form as possible.
BUSINESS CONTACT INFORMATION ONLY
Contact information submitted will be printed in Attendee Directory.
(Mandatory information is labeled in red)
All discounted registrations must be from the same entity, combined and submitted at the same time.