CPPC 2022 Convention Registration Page

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 the name badge.  If YOU prefer a specific listing, please list here: _______________________________________

Email: _____________________________________
Tel:  _______________________________________

Convention Registration Costs… depend upon WHEN your registration PAYMENT is received:

Attendees          before 9-1     after 9-1          door
First person       $279            $289                $299
Second person  $269            $279                $289
Any additional   $259            $269                $279

SECTION B…  Guests for food events
Guest tickets for Saturday Night’s Reception or for any other meals are available for $75 each, per event, if accompanying an attendee.  Otherwise, cost is $125 for a non-attendee to participate in any food event.  Please provide the names and payment for any such requests and specify event(s):
1._______________________ Event: _______________
2._______________________ Event: _______________

Friday Oct 14^th  Pre-Convention Optional Sessions: Military Roundtable & Repair Only
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: ____________

Claims Prevention and Procedure Council, Inc.
P.O. Box 1117 Newburgh, IN 47629
Ph: 812-858-0575
Email: cppc@claimsnet.org   
Web: www.claimsnet.org

Questions?  Contact Alan Jobe at the CPPC Office

Note: Any and all refunds are at the discretion of the CPPC office, due to schedule times and contractual obligations with other parties.

SECTION C... Advertising / Sponsorship – Info
Special Sponsorships are available on a first come basis for those that want to do more than usual Advertising in the Program and include a program ad and event banner as well.
Name Badge Sponsor:                   Taken
Program Sponsor:                         Taken
Reception Entertainment:        Negotiable / Shared *
Military Roundtable Sponsor:  Negotiable / Shared *
Repair Only Sponsor:              Negotiable / Shared * Break Sponsor:                       Negotiable / Shared *
Meal Sponsor:                         Negotiable / Shared *

   *: Negotiable amounts are at a minimum of $500 and can be a combination of Sponsors

If you respond by Octoberr 1st, we will be happy to include your name as a Sponsor in our “Official Convention Program” along with a corresponding Ad and an event banner. 

Your Black and White Ad options for listings:
Bronze -          $  50 for a business card size ad
Silver -            $100 for a quarter page ad
Gold -              $150 for a half page ad
Platinum -       $250 for a full page ad

Any donation amount is accepted and 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 the event this year. 

Remember the deadline is 10-1 -2022!
(We can not guarantee your inclusion in the program after that date.)

TOTALS:
Section A    $______________
Section B    $______________
Section C    $______________
                  Grand Total:   $_____________ 

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

If paying by Visa, Master Card, Discover or American Express email or mail the registration form to our office for processing.  An invoice will be emailed back to you for payment through our on-line secure payment portal.  If choosing this option, please sign here: ____________________________________________

If you are not a CPPC member, we will be pleased to provide you with a complimentary one year membership with your registration.
                Please initial here to activate:  ________