Alabama Workers' Compensation Organization
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Attendee Registration Form
AWCO Last Chance Seminar – November 5, 2008
Marriott/Robert Trent Jones Conference Center
Prattville, Alabama

Fields marked with * are required.

*  Attendee Name:
*  Company:
*  Address:
*  City, State, Zip:
*  Phone:
*  Email:

Select all that apply:
Adjuster:
Attorney:
Alabama State Bar ID#:

Admission fee for the Last Chance Seminar is $150. Please send completed registration form and payment by October 29, 2008 to:

AWCO
Post Office Box 59884
Birmingham, AL 35259

Total payment to be mailed:
Amount :

  
AWCO Christmas Party
When: Dec. 16th
5:00-9:00pm
Where: The Tutwiler Hotel
Birmingham, AL
Cost: $25 per person

Please make your reservations on or before Friday, December 5th by calling or emailing Christy Wilkins at 205-583-9816, or
cwilkins@avizentrisk.com

The Tutwiler Hotel
2021 Park Place
Birmingham, AL 35203
(205) 322-2100
www.thetutwilerhotel.com

* Special room rates are available through 11/30/2008. Please contact the Tutwiler for details.