ONLINE Registration for the

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.
Register 5 or More Attendees and Receive a 5% Discount: click here.

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
 


COLLEGE REGISTRATION FEES
- YOU MUST BE AN ADJUDICATOR OR REGULATOR

Advance Registration for Members of NAWCJ:
- $225 until June 30, 2017
- $265 after June 30, 2017

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

Advance Registration for Non-Members of NAWCJ:
- $350 until June 30, 2017
- $360 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:
$225 $265
     
Non-Member:
$350 $360
     
 

SPONSORSHIPS: Please select sponsorship type:

Judiciary College Sponsorship $1000:
Table-Top Booth $500            
Beverage Break Sponsorship $250/Break: 

Select Day(s)   Monday      Tuesday       Wednesday


ALL DAY Beverage Break Sponsorship $500/Day:  Select Day(s)   Monday      Tuesday       Wednesday
 

METHOD OF PAYMENT

BY CLICKING SUBMIT, you will be directed to our secure online PayPal payment page.

For more information, contact the National Association of Workers'
Compensation Judiciary at (850) 425.8156 or 425.8155.  This is a "business casual" program.

Contributions, gifts, or dues to the National Association of Workers' Compensation Judiciary are not deductible as charitable contributions for federal income tax purposes.