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CPPC 2019 Workshop Registration

 

CPPC 2019 Workshop
Hilton Chicago/North Brook Hills Resort, IL
April 12th & 13th 

Click here to connect to on-line registration.
or 
Click here to print a registration form!

REGISTRATION FORM

(On-line registration and payment is available through a link at the CPPC website, www.claimsnet.org )

SECTION A… Attendees

If this is your first time to attend a CPPC event, please place an asterisk (*) by your name.

1.______________________________

2.______________________________

3.______________________________

4.______________________________

Company: ___________________________

Address: ____________________________

 ___________________________________

Note:  Some firms prefer showing a metro area on their name badge.  If YOU prefer a specific listing on your badge, please list here: ____________________________________

Email: ______________________________

Tel: ________________________________

Fax: _______________________________

Workshop Registration Costs… depends upon WHEN your registration PAYMENT is received:

Attendees       before 3-13  after 3-13  door

First person       $249        $259        $269

Second person   $239        $249        $259

Any additional    $229       $239         $249
SECTION BGuests for reception or other food events:

Guest tickets, for a non-registered attendee to attend the Saturday Evening’s Reception are $50 per person. Participation in any other meals, for a non-registered attendee, is $35 per meal event. Please provide the names for each event(s):

1._________________   Event: __________

2._________________   Event: __________

3. _________________  Event: __________

SECTION CExhibit Spaces – Limited Availability

Exhibit spaces can be reserved for $175 for a registered attendee or $350 for a non-registered attendee.  Spaces are limited and filled on a first come basis. Space includes a table & 2 chairs, unless other requests are specified. Don’t miss out on this great marketing option where attendees come to you. See Workshop schedule for open exhibit times, including our special Repair Demo Happy Hour that will highlight our exhibitors during the repair demonstration session on Friday.
Thursday/Friday April 11th/12th  “Pre-Workshop” Optional Sessions:“Repair Only” 4/12 & “Military Round Table” 4/11 & 12

These sessions are at no additional charge to attendees, but we do need a count for appropriate planning.  Please advise, if you will be attending one of these sessions.

Name: ____________ Session: _______

Name: ____________ Session: _______

Name: ____________ Session: _______

SECTION DAdvertising/Sponsorship Information

If you respond by April 1st, we will be happy to include your name as a sponsor in our “Official Workshop Program”.  Your Black & White Ad options for listings:

Advertising:

Bronze -    Business card Ad              $50 Silver -      Quarter page Ad               $100 Gold -        Half page Ad                    $150 Platinum - Full page Ad                     $250

Sponsorships: (Includes a Half or Full Page Ad see detail page)

Program -                                 $1000 Badge Holder -                         $1000 Reception Entertainment -       $1000 Exhibitor Reception -         Negotiable * Reception Decorations -    Negotiable * Optional Sessions -            Negotiable * Breaks& Meals                   Negotiable *

*: Negotiable amounts can be a combination of Sponsors.

Sponsorship of $500 comes with a half page ad and an event banner. Sponsorship of $1000 or more comes with a full page ad and an event banner.  Any donation amount is accepted, appreciated and will be acknowledged. If we do NOT receive a special ad from you with your donation, we will prepare a simple “compliments of” type ad for the program on your behalf.
Show your support by placing an ad, even if you are not able to attend this year. 

Remember the deadline is 4-1-2019!

(We cannot guarantee your inclusion in the program after this date.)

Note: Most named Sponsorship opportunities are available upon request and prices are negotiable. Contact the CPPC office to discuss.

SECTION E: AMSA “CLAIMS 101” Session

Thursday April 11th - This is an optional session and does include course and a provided working lunch with optional completion CCA exam. Cost is $250.00 per person.

Name(s) ________________________

SECTION F: Optional Lunch Friday April 12th/ $35 each

Name(s) _______________________   _______________________________

TOTALS:

Section A $_______  Section D $_______

Section B $_______  Section E $_______

Section C $_______  Section F $_______

                     Grand Total: $________

Payment by check can be mailed to the CPPC address below along with registration form.

If paying by CC, an invoice will be emailed to you for payment. or mail the registration form to our office for processing. If choosing this option, please sign here: ______________________________

If you are not a current CPPC member or have not previously been a member, we will provide you with a one year membership with your registration. Please initial here if being requested: _____

Refunds for any processed reservations are not guaranteed and are at the discretion of the CPPC office.

QUESTIONS?
 Call the CPPC office at 866-276-5656, email at cppc@claimsnet.org, fax at 812-858-0599 or by mail at P.O. Box 1117 Newburgh, IN 47629

Click here to connect to on-line registration.
 or
Click here to print a registration form!