Registration Services provided by
Sponsor Registration Step 1: Company and Contact Information
Required Fields*
Company Name*
Specialty*  
Address*
Address Line 2*
City*
State*
Zip*
Phone*
Ext.

Fax

Company Contact Name:*

FirstLast

Contact Email*

Sponsor Package*
Purchasing Silver Sponsor - $500

Purchasing Gold Sponsor - $1000

Purchasing Diamond Sponsor - $2500

Fill out Attendee Info only if you are purchasing a Gold. (Diamond will be contacted separately.)
GOLD Sponsor Attendee Name**

FirstLast

Attendee Title**
Attendee Contact Email**




Merchant Services
November 1-2, 2018  Providence, RI Online Conference Registration
SPONSORSHIP OPPORTUNITY You are invited to register as a sponsor for the 2018 Rhode Island Workers’ Compensation Educational Conference. The following sponsorship levels are available: Silver: $500 Contribution Organization name will appear on a large “Thank You Sponsor” sign in exhibit area. Gold: $1,000 Contribution Includes one complimentary attendee Organization name and contact information will appear in conference program Organization name will appear on a large “Thank You Sponsor” sign in exhibit area. Diamond: $2,500 Contribution 4 Complimentary Attendee Registrations. Organization name, logo and contact information will appear in conference program. Organization name will appear on a large “Thank You Sponsor” sign in exhibit area. (Diamond registrants will be contacted offline for attendee and other information)