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Colorado Workers' Compensation Educational Conference Attendee Registration
Colorado Workers' Compensation Educational Conference Attendee Registration
* Required Fields
Attendee Information:
First Name
*
Last Name
*
Title
*
Email Address
*
Corporate Name
*
Phone Number
*
Fax Number
Address
*
City
*
State
*
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*
Are you Bringing a Spouse-Companion
*
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None
Yes - $100
Total Number of
Additional
Attendees
*
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None
1 Additional Attendee - $395
2 Additional Attendees - $395 Each
3 Additional Attendees - $ Each
4 Additional Attendees - $ Each
5 Additional Attendees - $ Each
6 Additional Attendees - $ Each
7 Additional Attendees - $ Each
8 Additional Attendees - $ Each
How would you like to pay
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