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OCTOBER 18-19, 2023
GREATER RICHMOND CONVENTER CENTER
403 N. 3rd Street, Richmond, VA 23219

Attendee Registration – COVA Rate

Conference Rate:
This page is for registration by Virginia State Employees Only. The special rate is $275.

Conference registration cost covers conference sessions, materials, access to exhibit hall, continental breakfast, evening reception, and luncheon. Hotel cost is not included in conference registration fee.

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Preferred Payment Method^*

This is for our internal records. You will again need to designate payment method at the bottom of the form.

Preferred Badge First Name^*

How you want your name listed on your conference badge

First Name^*

Last Name^*

Business Name

Job Title

Address 1^*

Address 2

City^*

State^*

Zip^*

Email^*

Enter email again^*

Telephone^*

Fax

Registration Rate:^*

Special Needs Request

SPECIAL NEEDS: Please request auxiliary aids or specialized services needed when registering so that appropriate arrangements can be made. Arrangements should be requested no later than 10 working days before the conference.

Select Authorize.net to pay by Credit Card now. Select Pay Offline if you will be mailing a check.

When the form is complete, press Submit only once to proceed to the Authorize.net Payment Gateway. Should you encounter any problems with payment, please call IWCF at (386) 677-0041. PLEASE DO NOT REGISTER A SECOND TIME.

Select a payment method^*

Pay Offline

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 .

Lodging:
Conference group rate is $184 per night at the Hilton Downtown Richmond. Reserve the group rate here by September 17th. For questions, call the hotel at 800-HILTONS.

For questions, contact IWCF:
Phone (386) 677-0041
Fax (386) 677-0155
Email: co************@iw**.us

Net proceeds from this event, if any, go to the International Workers’ Compensation Foundation (FEIN# 35-1737364), a non-profit organization, 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