California Workers' Compensation Defense Attorneys' Association
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blank2017 CWCDAA Annual Winter Conference


2017 CWCDAA Annual Winter Conference
Disney's Grand Californian Hotel & Spa
Anaheim, CA
November 2-5, 2017

Registration Form

If you would just like to update your information but not register for the conference, please fill out the top half of this form and hit the submit button at the bottom for the page.

* indicates a required field

Bar Number:
*Attendee Type:
* Attendee's Email Address:
*First Name:
Middle Name:
*Last Name:
*Firm/Company Name:
*Zip Code:
Alternate Email:
*Office Phone:
Cell Phone:
Other Phone:

Please Create a Password:

If you are filling this out on behalf of someone else, please enter your email address below:
Email Address:

Please indicate the type of ticket that you would like to purchase and any guests that you would like have added to your purchase. If you have any questions or would like to purchase tickets for mulitiple people with the same credit card, please call our event manager:
StageOne Events at 925-240-9160.

Ticket Type:

Please indicate any need for services to accommodate a disability or dietary requirement:

Conference Materials
The CWCDAA will providing all conference materials digitally prior to the conference via the internet for registered attendees - materials will be posted on the Agenda page as they become available. We also understand that some people still prefer to have the traditional conference "binder." To this end, we will be offering printed materials for $50. If you purchase printed materials, we will have them printed and ready when you check-in. All orders for printed conference materials must be received and paid no later than the cut-off date for the Regular Pricing. We will not have the ability to print materials after this date or on-site.

           Please order a conference binder for me (Add $50 to conference registration fee)

Payment Method
Credit Card (Visa or MasterCard)

Billing Information for Credit Card
Copy from registration above
First Name:
Last Name:
Card Number:
Expiration Date:/

If you would rather mail or fax this form to us (paying by either check or credit card), please
print the registration form, fill it out, and mail it to us at:

Mailing Address:    CWCDAA
c/o StageOne Events
2205 Rippey Rd., #529
Penryn, CA 95663

Please make checks out to: CWCDAA
Or you can fax the form with your credit card information to 925.396.6150.

           I have read and agree to the Terms and Conditions on the Conference Pricing Page

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Event Links
    Upcoming Events
    Past Events

Conference Links
    Conference Home
    Register Now



2205 Rippey Rd. #529
Penryn, CA 95663
p 925.240.9160
f 925.396.6150
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Associaton Management
Email our Executive Director, Joe Smith
Contact our Event Manager, StageOne Events

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