Event Registration- 10.17.19

Event Registration - 2019 Employee Benefits Symposium, Thursday, October 17, 2019

Welcome! If you would like to take part in our event, please fill in your details in the form below and you will be automatically registered and directed to the Chapters payment page. Event registration must be completed at least 3 days prior to the event.

* Indicates required field

Name *

First

Last

Company *

Email *

Phone Number *

Are you a member of the Chapter: *

Yes No

Please select from one of the following options: *

$50 - Chapter Member - Morning Session $50 - Chapter Member - Afternoon Session $75 - Chapter Member - All Day $100 - Non-Member - Morning Session $100 - Non-Member - Afternoon Session $150 - Non-Member - Full Day

Comments or Questions: *

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