Name: ______________________________________________ Company: __________________________________________
Address: __________________________________________________________________________________________________
Phone: _____________________ Alternate: ____________________ Email: _______ _______________________________
Are you a member of the Virginia State Claims Association? ________________________________________
34
2018 VIRGINIA STATE CLAIMS
L E A D ERSHIP CONFERENCE
Sponsored by the Virginia State Claims Association
Portsmouth Renaissance Hotel & Conference Center
Portsmouth, Virginia
October 4 - October 7, 2018
Attendee Registration
Discounted Parking only $12.00 per day!
.
Registration Fees
Attention!!!
Take advantage of our
Early Bird Discount!
Register NOW or before
August 15th and only pay
Before August 15, 2018 ****Early Bird Special**** $99.00 per person
After August 15, 2018 $160.00 per person
After September 1, 2018 $200.00 per person
Number for Friday Night Meal: ____________________ Number for Saturday Night Meal: ______________
Total Number of Attendees: ___________________ Payment enclosed $______________________________
Attention: Please use the applicable registration fee based on the date you are registering. Payment must be
received by the due dates, no exceptions.
Attendee Name: _________________________________Attendee Name: _____________________________________
Attendee Name: _________________________________Attendee Name: _____________________________________
(Please complete names as you want them to appear on the name tags)
$99.00
Payment must be received
prior to
Aug 15, 2018
No exceptions!
Please mail form and payment, payable to VSCA Convention, C/O Danny Osterbind
P. O. Box 27552, Richmond, Virginia 23261
Conference schedule will be on
our website soon!
Visit us at
www.virginiastateclaims.com
Educational Speakers,
Exhibits, Music,
Great Food and Fun!
Registration fees include all session and activities on Friday and Saturday evening, conference materials and access to our
exhibit hall. Make sure you book your hotel early as rooms are limited. If you have any questions contact:
Danny Osterbind 804-290-1464 or danny.osterbind@vafb.com
Hotel Information
Room Rate $119.00 plus tax(s)
Rooms must be reserved prior to August 31, 2018.
Rate will go up after that date, no exceptions.
For Toll Free Reservations: 1-888-839-1775
Local: 757-673-3000
Cancellation Policy
Full reimbursement will be
made until
September 1, 2018.
No reimbursement will be
made after this date.
Virginia State Claims Association is an organization promoting education and professionalism in the insurance claims industry.
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/www.virginiastateclaims.com
/www.virginiastateclaims.com
/www.virginiastateclaims.com
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/www.virginiastateclaims.com
/www.virginiastateclaims.com
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/www.virginiastateclaims.com
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/www.virginiastateclaims.com
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