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Workplace Benefits Mania 2007 
July 16, 17, & 18 
Caesars Palace, Las Vegas, NV
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Workplace Benefits Renaissance 2007
Feb 13, 14, & 15 - New Orleans, LA
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Worksite Marketing Hall-Of-Fame
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Contact Information:
9221 Ravenna Road,
Suite #D8
Twinsburg, OH 44087
888-282-1765
330-425-8489 fax
330-425-8399 direct

Walt Podgurski, CLU, CES,
Chairman & CEO
wpodgurski@aol.com 
Cristina Basaran, Executive Manager
cabasaran@gmail.com 
Adrienne Janota, Executive Media Advisor ajanota@gmail.com 

Workplace Benefits Association Privacy Policy

 

Workplace Benefits Renaissance 2007
Attendee Registration Form

Attendee Registration Form  

  • Online Registration Form - to register online, complete the form below.

  • For a printable Attendee Registration Form, click here.

  • To request an Attendee Registration Form in Word format via e-mail, click here.

Questions? Call 888-282-1765 and have Cristina or Adrienne take your information via telephone!


 

  Name

  Badge First Name

  Company

  Title

  Address

  City, State, Zip Code

  Telephone

  E-mail

Check All That Apply

Non-Agent Registration - $299.00

Agent Registration - $299.00 (Two licensed agents register for the price of one!)

The Agent registration fees below include two registrations of licensed agents for the price of one. The information form for the 2nd agent is below. Copies of licenses for both agents must be faxed to 330-425-8489. This discount is provided because the 90 / 100 sponsors and exhibitors want to meet with licensed producers.

Check will be mailed.  Charge Credit Card below.

 
MC     Visa     American Express    Discover

  Ex. Date

  Cardholder Name

  Cardholder Zip Code

2nd Agent as part of the "2 for the price of 1" offer

  Name

  Badge First Name

  Company

  Title

  Address

  City, State, Zip Code

  Telephone

  E-mail

 

Proviso

The Workplace Benefits Association does not sell workplace benefits and is not in the business of offering advice.

THIS WEB SITE SHOULD NOT BE CONSIDERED AS ADVICE: The information contained in this web site is for informational purposes only and should not be considered advice. It is provided only as general information that may or may not reflect the most current legal developments. Consequently, the information should not be construed as legal, accounting, tax, investment or other professional advice or services. Each visitor is urged to consult a qualified professional who understands the visitor's particular factual situation before making any decision, and the Workplace Benefits Association disclaims any responsibility for any action taken by visitors in their specific cases or for any misinterpretation on the part of such persons. The Workplace Benefits Association makes no representation that this site or any content on or accessed through the site are appropriate or available for use in other jurisdictions. You are responsible for compliance with all applicable laws and regulations.

We provide this site as a convenience to our clients and the public. The material contained herein is deemed to be reliable, however this information is of a general nature - the complexity of these issues and specific circumstances dictate the applicability of this information. If you would like additional information, please Contact Us.  

Web site and all contents © Copyright Walter B. Podgurski 2006, All rights reserved.