Workplace Benefits Association
"The relationship that puts money in your pocket" by helping you increase your service and value!
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Attendee Registration Form
February 25, 26, & 27Wyndham Orlando Resort, Orlando, Florida 700 Attendees, 90+ Exhibitors, 40+ Speakers Licensed agents register two for the price of one.2008 " Spring Training Challenge" Conference
"Get in the Game"
Check One Non-Agent Registration (non-WBA Member) - $299.00 Agent Registration - $299.00 (non-WBA Members) (Two licensed agents register for the price of one!) Non-Agent Registration (WBA Member) - $249.00 Agent Registration - $249.00 (WBA Members) (Two licensed agents register for the price of one!) If you are registering as a non-WBA Member price of $299.00, your meeting registration fee will also include a one-year membership to the Workplace Benefits Association. If you are registering at the agent WBA Member price of $249.00, only one of the agents needs to be a current member of the Workplace Benefits Association. * Copies of licenses for both agents must be faxed to 330-425-8489. Non-Agent Registration / First Agent Registration
Check One
Non-Agent Registration (non-WBA Member) - $299.00
Agent Registration - $299.00 (non-WBA Members) (Two licensed agents register for the price of one!)
Non-Agent Registration (WBA Member) - $249.00
Agent Registration - $249.00 (WBA Members) (Two licensed agents register for the price of one!)
If you are registering as a non-WBA Member price of $299.00, your meeting registration fee will also include a one-year membership to the Workplace Benefits Association.
If you are registering at the agent WBA Member price of $249.00, only one of the agents needs to be a current member of the Workplace Benefits Association.
* Copies of licenses for both agents must be faxed to 330-425-8489.
Non-Agent Registration / First Agent Registration
Name
Badge First Name
Company
Title
Address
City, State, Zip Code
Telephone
E-mail
2nd (licensed) Agent as part of the "2 for the price of 1" offer
Company Focus
*Please check one
Carrier (Provides Insurance Product. Utilizing Broker Distribution)
Agent/Broker (Provides insurance protection to customers.)
Benefit Provider/Agent Group (Market your own insurance product(s). Insurance Agency.)
TPA
Enrollment Company
Software Provider
Other
Payment
Check will be mailed. Charge Credit Card below.
MC Visa American Express Discover
Ex. Date
Cardholder Name
Cardholder Zip Code
Privacy Policy
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.
