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CPPC 2020 Workshop Registration Form

Link to on-line registration: http://cppc.approvedhorizon.com/RegEventList_COM.aspx
       CPPC 2020 Workshop Registration Form

April 17th & 18th
The Sheraton Westport Chalet/St. Louis, MO

                                  Print Registration Document here!
 Link to on-line registration: http://cppc.approvedhorizon.com/RegEventList_COM.aspx

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.

Friday April 17th “Pre-Workshop” Optional Sessions:
“Repair Only” & “Military Round Table”

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.
Attendee Name: ___________ Session: __________
Attendee Name: ___________ Session: __________
Attendee Name: ___________ Session: __________

 
 

SECTION DAdvertising/Sponsorship Information
If you respond by April 3rd, 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/Repr Demo 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 4-3-2020!

(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 17th/ $25 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 812-858-0599or by mail at P.O. Box 1117 Newburgh, IN 47629

   Link to on-line registration: http://cppc.approvedhorizon.com/RegEventList_COM.aspx

                                   Print Registration Document here!