WorkCompEvent.com Registration System

Sponsorship Opportunities

You are invited to register as a sponsor for the 2025 Rhode Island Workers’ Compensation Educational Conference. The following sponsorship levels are available:

Diamond: $2,500 Contribution 

• 4 Complimentary Attendee Registrations. 
• Organization name, logo and contact information will appear in conference program. 
• Organization name will appear on a large “Thank You Sponsor” sign in exhibit area.

Gold: $1,000 Contribution 

• 1 Complimentary Attendee Registration. 
• Organization name, logo and contact information will appear in conference program. 
• Organization name will appear on a large “Thank You Sponsor” sign in exhibit area.

Silver: $500 Contribution 

• Organization name will appear on a large “Thank You Sponsor” sign in exhibit area.

Please complete the form below to secure your sponsorship:

Please enable JavaScript in your browser to complete this form.

Business Name

Contact Person *

First

Last

Business Specialty

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Fax

Select Sponsorship Type

• Diamond – $2,500.00
• Gold – $1,000.00
• Silver – $500.00

Attendee

A Diamond Sponsorship entitles you to 4 attendees, and a Gold Sponsorship entitles you to 2 attendees. If you are purchasing a either, please complete the attendee fields below.

#1 Attendee Name

#1 Attendee Title

#1 Attendee Email

#1 Attendee Phone

#2 Attendee Name

#2 Attendee Title

#2 Attendee Email

#2 Attendee Phone

#3 Attendee Name

#3 Attendee Title

#3 Attendee Email

#3 Attendee Phone

#4 Attendee Name

#4 Attendee Title

#4 Attendee Email

#4 Attendee Phone

Total

$0.00

How would you like to pay? *Please select onePay by CheckCredit Card via Authorize.net

The address you entered above must match that of your billing address.

Payment via Authorize.Net *

Card Number

MM123456789101112Expiration

/

YY2526272829303132333435

Security Code

Payment by Check *

• I agree to pay by check

Press register below.

For payment by check, make it payable to IWCF and mail to 570 Memorial Circle, Suite 320, Ormond Beach, FL 32174, along with a note with your name and the name of the Conference, so we credit the payment correctly.

Register

LODGING – The Residence Inn Providence Downtown, across from the Convention Center, is the host hotel. A block of rooms has been reserved at a discount rate of $189/night. These rates will be available through March 9, 2025, unless this block becomes fully reserved prior to this date. Register early! Book online at here. Or call (401) 279-8008, dial 1 for reservations and ask for the Rhode Island Workers’ Compensation Conference.

CONTINUING EDUCATION – Application is pending for up to 10 hours of Rhode Island CLE for attorneys; and up to 8.5 hours of CDMS and CCM credits for rehabilitation professionals; CE credits for insurance producers; and SHRM credits for human resource professionals. A certificate of attendance will be provided for other professional disciplines.

CANCELLATION REFUND POLICY – Cancellation of preregistration must be made before 5:00 PM on March 28, 2025. Substitution of personnel is recommended in lieu of cancellation after that date. The full registration fee will be forfeited if you fail to attend or cancel timely. All registrations are fully transferable to another person.

SPECIAL NEEDS – Individuals attending the conference who may need auxiliary aids or special services are requested to provide notice of their needs in writing no later than 10 working days before the Conference so that appropriate arrangements can be made.

DRESS CODE – Casual clothing is appropriate for all events.

For further information contact the IWCF at (386) 677-0041, Fax (386) 677-0155 or email co************@iw**.us.

Proceeds from this event, if any, go to the nonprofit International Workers’ Compensation Foundation (FEIN# 35-1737364), to further its work in workers’ compensation education and outreach.

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For additional information contact the IWCF at:
Phone: 386-677-0041 • Fax: 386-677-0155
Email: co************@iw**.us