Online Conference Registration
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 Sponsor - $500

Purchasing Gold Sponsor Sponsor - $1000

Fill out Attendee Info only if you are purchasing a Gold Sponsor.
GOLD Sponsor Attendee Name**

FirstLast

Attendee Title**
Attendee Contact Email**




Merchant Services
Sponsor Registration Step 1: Company and Contact Information
You are invited to register as a sponsor for the Texas Workers’ Compensation Conference. The following sponsorship levels are available: Silver: $500 Contribution Organization name will appear on a Large “Thank You Sponsor” sign in exhibit area. Contact information in the conference app, and in the opening conference video each day Gold: $1,000 Contribution Organization name, logo and contact information will appear in conference program. Contact information in the conference app, and in the opening conference video each day Organization name will appear on a Large “Thank You Sponsor” sign in exhibit area. One complimentary attendee registration

Sponsorships

Irving, TX - June 26-28, 2019
All sponsors are subject to approval by the TDI-DWC before acceptance