Workers Compensation professionals - working together for best results!

Attendee Registration

Complete and submit this secure, online registration form with your credit card payment, to immediately secure your place at the 2023 Worker's Compensation Conference.

You'll also get the chance to sign up for the OC 1K Fun Run & Walk benefiting the Kids' Chance of Maryland, Inc. scholarship fund. Your participation supports the children of the state's seriously injured workers.

The run & walk is open to all ages and abilities and will be held Tuesday afternoon, October 3, starting at 2 pm on the Ocean City Fontainebleau Resort beach front. T-shirts are available for anyone donating $25 or more and prizes will be awarded!

2023 REGISTRATION FEES (Per Person Rates)
	By 7/31/2023	After 7/31/2023
Individual	$300	$350
4 Or More*	$275	$325
Companion**	$175	$175

* 4 or more registered at the same time will pay one at full price ($300 by 7/31; $350 after 7/31), then a discounted registration ($275 by 7/31; $325 after 7/31) for each additional attendee.

** Only ONE Companion allowed per registrant. Companions are persons who accompany the registered individual for personal reasons as distinguished from someone with a professional interest in workers' compensation. Companion registration includes social events only. (Companions are not allowed to attend the trade show exhibits or CE sessions and will be issued GUEST Badges that must be worn at all times.)

4% Service fee charges will be added to credit card payments. These are calculated by credit card companies based on transaction amounts and are not collected by the MWCEA.

Print Deadline: All registrations, sponsorships, exhibitor information, advertising and artwork must be postmarked or submitted, and paid, by August 15, 2023 to guarantee placement in the MWCEA Conference Book.

- NO REFUNDS -

Please complete as much of the following form as possible.
BUSINESS CONTACT INFORMATION ONLY
Contact information submitted will be printed in Attendee Directory.

(Mandatory information is labeled in red)

Name
(as printed on badge):

Company:

Title:

Industry:

Office Information

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Additional Information

Do you plan to register onsite for CEU?

CCM

CDMS

CRC

CLE Letter of Attendance

Are you an Exhibitor?

Yes

What format do you wish to receive Conference Materials in?

Hard Copy Book

Electronic

* A $25 Conference Book Charge will apply on-site if you select electronic format now, then want a hard copy at the conference.

Registration

Please indicate how many people will be registering: $350.00

Yourself:

1 @

Additional Registrants:

(10 maximum)
1 to 3 (including Yourself) @ $350.00 each.
For 4 or more, all Additional Registrants are @ $275.00 each.

Companion:

Companion's Name
(on badge):

I understand that the companion registration does NOT include access to the booths, trade show, CE sessions or Lunch & Learn. Access is to Social Events ONLY. Companions will be issued GUEST Badges that must be worn at all times. (Please check box to signify you have read and understand.)

The early bird rate $300 is only good if registration is PAID for and received by July 31, 2023. If paying by check, please register by July 20. Afterwards, payment MUST be received by MWCEA within 10 days of registration. All registrations not paid by July 31 will automatically be increased to the regular conference rate $350.

Additional Registrant Details

#	First Name	Title	Industry
1.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
2.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
3.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
4.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
5.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
6.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
7.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
8.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
9.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic
10.
	Office Phone:	Office Email:	Conference Materials: Hard Copy Book Electronic

* A $25 Conference Book Charge will apply on-site if you select electronic format now, then want a hard copy at the conference.

Additional Registration Options

Yes! Please RSVP me for the Lunch & Learn Session on Monday

Enter the number attending.

Yes! Please RSVP me for the Lunch & Learn Session on Tuesday

Enter the number attending.

Yes! Please RSVP me for the Raffle Drawing on Wednesday

Enter the number attending.

TOTAL AMOUNT DUE:

I confirm that I have read, understand, and agree to the COVID-19 Notice.

All discounted registrations must be from the same entity, combined and submitted at the same time.

Refund Policy

No Refunds will be granted. Registration fees are transferrable.

Payment Policy

The acceptable methods of payment are checks, cashier's checks, money orders or credit card. All payments must be made by August 15, 2023 to be included in the MWCEA Annual Program Directory. All early bird fees must be paid prior to July 31, 2023 or will automatically increase to the regular attendee registration fee.

Cancellation Policy

All cancellations MUST be submitted in writing (emailed to info@mwcea.com). Telephone requests WILL NOT be honored. Paid registration (attendee or exhibitor) fees will be transferred or credited. The registrant will be held responsible for any unpaid registration fees, regardless if they do not attend the conference.

Any cancellation credits must be used within the current or following conference year.