ONLINE Registration for 5 or More Attendees

NATIONAL ASSOCIATION OF WORKERS’ COMPENSATION JUDICIARY
2017 Judiciary College
AUGUST 6 - 9, 2017
Orlando World Center Marriott

YOU MUST BE AN ADJUDICATOR OR REGULATOR TO ATTEND.

To register online, please select from choices below.
If you prefer to pay by check, click here for the mail-in form.

IMPORTANT: For multiple registrations, AFTER CHECKOUT, you will be re-directed back to this page where YOU MUST fill in and submit the contact information form below for each attendee you are registering. You will not need to make any further purchase selection.

COLLEGE REGISTRATION FEES - YOU MUST BE AN ADJUDICATOR OR REGULATOR

Advance Registration for 5 or More Members of NAWCJ at 5% Discount:
- $213.75 each until June 30, 2017
- $251.75 each after June 30, 2017

If you would like to become a member or renew your membership click here.

Advance Registration for 5 or More Non-Members of NAWCJat 5% Discount:
- $332.50 each until June 30, 2017
- $342.00 each after June 30, 2017

Registration for the Judiciary College will include conference handout materials, access to the exhibit area, Monday night reception, and participation in the Annual Workers’ Compensation Educational Conference.

   
ONLINE REGISTRATION: Until June 30, 2017 After June 30, 2017
NAWCJ Members:
Select Number of Attendees
Select Number of Attendees
 
Non-Member:
Select Number of Attendees
Select Number of Attendees

SPONSORSHIPS: Please select sponsorship type:

Judiciary College Sponsorship
$1000:
   
Table-Top Booth
$500
Enter Days Requested
   
Beverage Break Sponsorship
$250/Break: 
Select Number of Breaks
Enter Days Requested
ALL DAY Beverage Break Sponsorship
$500/Day: 
Select Number of Days
Enter Days Requested

ATTENDEE CONTACT INFORMATION

Submit Information Below ONLY AFTER you have checked out.

Full Name:
First Name for Badge:
Agency Name:
Title:
Business Mailing Address:
City:
State:
Zip:
Telephone Number:
Fax Number:
Email Address:
Agency Website:
Bar/License Number:
State/Jurisdiction/Association:
 


HOTEL ACCOMMODATIONS:
For your convenience a block of sleeping rooms has been reserved at The Caribe Royale Orlando (8101 World Center Dr, Orlando, FL 32821, 888-258-7501 for this event. Please complete the following information and a reservation will be processed for you. The sleeping room rate is $114. Cut-off date is July 6.

Check here if you have special needs that require attention.
Number of Rooms
Room Type   
Arrival Date
Departure Date
Please provide credit card info below so we may secure a room for you.
You will not be charged until you check-in to the hotel.
 METHOD OF PAYMENT: Mastercard   VISA   American Express   Discover
Credit Card Account Number
Expiration Date
CVV