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

Fields marked with * are required.

* Company:
* Attendee Name (1):
   Attendee Name (2):
* Address:
* City, State, Zip:
* Phone:
* Email:
Booth space includes one attendee - $250
Additional attendee as booth sponsor - $75

* Vendors are allowed 2 attendees



Sponsorships:

General Sponsorship - $200.00

Allows sponsor to place marketing items in the bags containing seminar material and includes signage recognition.  Seminar registration is an additional $150.00.



Hotel Accommodations:
The Marriott Montgomery Prattville at Capital Hill will have a block of rooms for the night of November 4, 2008.  Reservations may be made beginning September 10, 2008 at a group rate of $124 by calling (334) 290-1235.  You must ask for the AWCO Last Chance Seminar group rate when making reservations.  This rate will be available until October 22, 2008.



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 :