28th Annual National
UI Issues Conference 2009
Registration Form

Please fill out the information below............ * Required Field

Mr. Ms. Dr. Rev. Sr. Jr.
  First Name *
 Last Name *
 MI
  Title *
Organization *
 
 

Mailing Address *
  City *
 State *
 Zip *
 
E-mail * Day Phone * Fax
  Spouse or Companion's Name:
(leave blank if no spouse/companion)

REGISTRATION FEE (includes Tuesday and Wednesday receptions & complimentary copy of Highlights of State Unemployment Compensation Laws 2009)
Payment must be received before registration is processed
 

UWC-MEMBER PRICE

NON-MEMBER PRICE

Early Bird Registration (through April 10) $455 $515
Regular Registration (after April 10) $515 $570
Second or more person from same organization $410 $435
Spouse/Companion $80 (includes receptions only)
 
Totals and Payment Method
Totals
Amount (from Registration Fee Box)
Spouse/ Companion
Total Fee

Payment Method
(Charge Card information must accompany this form. We accept VISA and MasterCard and AmEx only.)
Please charge to my:
Acct.
(Only enter the account numbers. Do not enter spaces or hyphens.)
 Exp.Month Exp. Year (Range: 2001-2020)

CHECK: Make checks payable to: NFUCWC (National Foundation for Unemployment Compensation & Workers' Compensation)
MAIL CHECKS TO:
National Foundation for Unemployment Compensation and Workers' Compensation
910 17th Street, NW, Suite 315
Washington, DC 20006
Attention: Cheryl Robinson
HOTEL ACCOMODATIONS NOT INCLUDED IN REGISTRATION FEE. April 10 deadline for $174/night guaranteed conference room rate for stays from May 9-17. To book rooms by phone, call the Hilton Wilmington Riverside Hotel at 1-888-324-8170/910-763-5900 and state that you are with the UI Issues Conference to get that rate. To book online, go to http://www.hilton.com/en/hi/groups/personalized/ILMNCHF-NFU-20090511/index.jhtml.
For government room rates, sponsorship/exhibitor information, contact Cheryl Robinson at 202-223-8902.

Cancellation Policy: No refunds issued after April 28th. All cancellations are subject to a $50 fee. Cancellation notices should be e-mailed to Cheryl Robinson at robinsonc@uwcstrategy.org

Dress Code is business casual.