AWCP 17th Annual Fall Education Conference “The Daily Grind” Your everyday workers’ compensation questions answered Friday, October 23, 2015 Red Lion Woodlake Conference Center 500 Leisure Lane, Sacramento, CA 95814 Registration/Breakfast: 7:30 a.m. Conference: 8:30 a.m. – 5:00 p.m. Advance Exhibitor and Sponsorship Registration Conference Committee Sara Skolnik, Esq., Chair Sam Bragg Tani Bragg Tiffany Corona, Esq. Brian Mellor, Esq. Praveen Prasad, M.D. Peter Yip, M.D. 17th Annual Fall Education Conference “The Daily Grind” Friday, October 23, 2015 Red Lion Woodlake Conference Center Advance Sponsorship Registration AWCP Videos – You be the Star! Sponsorship Opportunities Title Sponsor** Education Panel Sponsor** Breakfast Sponsor Luncheon Sponsor Afternoon Break Sponsor Grand Prize Drawing Attendee Logo Bags** Conference Syllabus Ads 1 Available 3 Available 7 Available 3 Available 2 Available 1 Available 1 Available Full Page Half Page Quarter Page $6,000 $1,000 $ 300 $ 500 $ 500 $ 500 Inc. with Title $ 500 $ 350 $ 250 Company Logo Props 6 Available $ 100 **Sponsor an Education Panel and you will also be a Video Producer. Sponsorship includes your company’s name and logo in the credits, along with a cameo appearance in the video to showcase your acting talents and a quarter page ad in the conference syllabus. Company Logo Props: Have your company’s logo marketing item as a prop complete with a close up. All part of AWCP’s “Academy” Awards!! Registration & Payment Name: ___________________________________________________ AWCP Diamond Member: Yes Company: _______________________________________________ Phone No.:_________________________ Address: _________________________________________________ City/State/Zip:______________________ Email Address: ___________________________________________ Sponsorship: ______________________ Check Enclosed: Amount: ___________________________ Payment Information: Yes No Visa M/C No AMEX Name (as it appears on credit card): __________________________________________________________________ Credit Card Number: __________________________________________________ Charge Amount: _____________ Expires: ______________ Security Code: _____________ Billing Zip Code Number: ___________ Mail, Email or Fax this form with payment to AWCP Due to print deadlines, no refunds after registration deadline of October 15, 2015 Questions? Please contact Connie at connie@awcp.org PO Box 760 Rancho Cordova, CA 95741-0760 Phone: (916) 290-8017  Fax (916) 914-1706 www.awcp.org Supporting the Work Comp Community! 17th Annual Fall Education Conference “The Daily Grind” Friday, October 23, 2015 Red Lion Woodlake Conference Center Advance Exhibitor Registration Yes, I want to exhibit at the 2015 AWCP Fall Conference and receive the early bird pricing! Booth Fees By July 31, 2015 After July 31, 2015 $595 $745 $795 $945 AWCP Diamond Member AWCP Non-Diamond Member Registration & Payment Name: ___________________________________________________ AWCP Diamond Member: Yes No Company: _______________________________________________ Phone No.:_________________________ Address: _________________________________________________ City/State/Zip:______________________ Email Address: ___________________________________________ Check Enclosed: Payment Information: Yes No Visa Amount: ___________________________ M/C AMEX Name (as it appears on credit card): __________________________________________________________________ Credit Card Number: __________________________________________________ Charge Amount: _____________ Expires: ______________ Security Code: _____________ Billing Zip Code Number: ___________ Mail, Email or Fax this form with payment to AWCP Due to space limitations, no refunds after registration deadline of October 15, 2015 Questions? Please contact Connie at connie@awcp.org PO Box 760 Rancho Cordova, CA 95741-0760 Phone: (916) 290-8017  Fax (916) 914-1706 www.awcp.org Showcasing Your Company!