Conference Registration Form | Tennessee Self-Insurers Association

2021 Conference Registration

TNSIA Member Attendee Rate: $275 | TNSIA Non-Member Attendee Rate: $325 Please see sponsor options here: https://www.tnselfinsurers.org/wp-content/uploads/2020/03/2020-tnsia-conference-sponsorship.pdf

Contact First Name*
Contact Last Name*
Company Name*
Contact Email Address*
Contact Phone*
Contact Address*
Contact Address 2
Contact Address - City
Contact Address - State*
Contact Address - Zip*
Contact Address - Country*
Participation Level: Please Select One of the Following*
Risk Manager, Claims, or similar role*
Price: $0.00
You work in risk management or similar role, or for a self insured or high deductible organization.
TNSIA Associate Member*
Price: $225.00
You work as an attorney, insurance, or similar supportive role to risk managers.
Sponsor Opportunities*
This Sponsorship Level Includes - Conference Registration for 2 (Vendor and/or Client) - Exhibitor Booth at Reception & Conference - Logo Exposure in Conference Presentation and Handouts (deadline: 8/21/20) [2 total conference attendees]
This Sponsorship Level Includes - Conference Registration for 2 (Vendor and/or Client) - Exhibitor Booth at Reception & Conference in Premium Location - Logo Exposure in Conference Presentation and Handouts (deadline: 8/21/20) - Event signage recognition (deadline: 8/21/20) [2 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Sponsorship of Conference Reception on Thursday, September 10th - Opportunity to place Promotional Information on Tables/Bars at reception - Verbal recognition at Reception - 1 Additional Conference Registration (Vendor and/or Client) - Event signage recognition (deadline: 8/21/20) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [3 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Exclusive Sponsorship of Post-Conference Lunch on Friday, September 11th - Opportunity to place Promotional Information on tables at lunch - Event signage recognition (deadline: 8/21/20) - Verbal recognition/promotion at event - 1 Additional Conference Registration (Vendor and/or Client) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [3 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Exclusive Sponsorship of Board of Directors Meeting on Thursday, September 10th - Opportunity to place Promotional Information on tables at board meeting - Opportunity to address the TNSIA Board of Directors - 1 Additional Conference Registration (Vendor and/or Client) - Event signage recognition (deadline: 8/21/20) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [3 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Exclusive Opportunity to provide Conference Notepad & Pen (placed on event tables) - Event signage recognition (deadline: 8/21/20) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [2 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Exclusive Sponsorship of WiFi throughout conference - Verbal recognition at event - Event signage recognition (deadline: 8/21/20) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [2 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Sponsorship of Breakfast on Friday, September 11th - Opportunity to place Promotional Information on tables at breakfast - Event signage recognition (deadline: 8/21/20) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page [2 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Opportunity to include Logo or advertisement on 1 side of Conference Table Tent placed on all conference round tables throughout conference (deadline: 8/21/20) - Logo on TNSIA Website Conference Page - Logo in Conference Emails [2 total conference attendees]
This Sponsorship Level Includes - Silver Sponsorship plus: - Sponsorship of 2 breaks during the conference - Event signage recognition (deadline: 8/21/20) - Logo on TNSIA Website Conference Page - Logo in Conference Emails [2 total conference attendees]
This Sponsorship Level Includes - Exclusive Sponsorship of Conference Networking Lounge - Opportunity to Place Promotional Information anywhere in Networking Lounge - Event Signage Recognition (deadline: 8/21/20) - Exhibitor Booth IN the Networking Lounge - 2 Conference Registrations (Vendor and/or Client) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page - Verbal Recognition at Event [2 total conference attendees]
This Sponsorship Level Includes - Exclusive Opportunity to Provide Conference Swag Bag (Sponsor will provide bag to be handed out at registration.) - Opportunity to Include Promotional Information in the Bag - Event Signage Recognition (deadline: 8/21/20) - 2 Conference Registrations (Vendor and/or Client) - Logo Exposure in Conference Emails - Logo on TNSIA Website Conference Page - Verbal Recognition at Event [2 total conference attendees]
This Sponsorship Level Includes - Exclusive Sponsorship of Hotel Guest Bag (Hotel will provide hospitality bag with snacks & drinks to guests at check-in.) - Opportunity to include letter or other promotional information in/on the bag - Event Signage Recognition (deadline: 8/21/20) [0 total conference attendees]
This Sponsorship Level Includes - Event Signage Recognition (deadline: 8/21/20) - Conference Registration for 1 (Vendor and/or Client) - Logo Exposure in Conference Presentation and Handouts (deadline: 8/21/20) [1 total conference attendees]
This Sponsorship Level Includes - Event Signage Recognition(deadline: 8/21/20) - Logo Exposure in Conference Presentation and Handouts (deadline: 8/21/20) [0 total conference attendees]
Company Description: This will be used in marketing/event materials with applicable sponsorships.
Names of Attendees: Please list your company attendees here.*
To review how many attendees are included in your sponsorship, please review options here: https://www.tnselfinsurers.org/wp-content/uploads/2020/02/2020-tnsia-conference-sponsorship.pdf
Website
Sponsor Logo - To be used for marketing/event materials with appropriate sponsorship.*
Payment Type*
Select "Online (Paypal)" to pay by credit card. Select "Offline "to pay by check, and mail check to PO Box 158341 Nashville, TN 37215. Select "Included in Membership" for any registrations included in 2020 TNSIA Membership (membership dues must be paid to select this option). Please note, cancellation refunds will exclude PayPal Fees.
CAPTCHA