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2020 Virtual Enrollment Conference
September 29 – 30 & October 5-7
 
Sponsor Information
 
Primary Contact First Name                   
Primary Contact Last Name  
Primary Contact Organization/Dept  
Primary Contact Address  
Primary Contact City  
Primary Contact State  
Primary Contact Zip  
Primary Contact Phone (ex. 608-555-1234)  
Primary Contact Email    
Sponsorship Level


 
 
Payment Method
 
Based on your sponsorship level,
please indicate who will be attending the conference
Registrant #1
Registrant #1 Email
Registrant #2
Registrant #2 Email
Registrant #3
Registrant #3 Email
Registrant #4
Registrant #4 Email
Registrant #5
Registrant #5 Email
 
Cancellation Policy If a participant cancels less than seven working days prior to the date of the event, no refund can be issued. A substitute may be sent in the place of the original registrant, but the individual participant or department is responsible for coordinating and communicating this to Mike Moriarty, memoriarty@wisc.edu, 608-265-6232.

Privacy Statement Covering Wisconsin does not sell, rent, trade or distribute any personally identifiable information obtained from clients to a third party, except in cooperation with government agencies or as required by law. Information collected by Covering Wisconsin is used for the administrative and operational purposes of our services.

Doing Business As Your credit card statement will reflect this merchant Doing Business as UW MADISON SOHE.

Questions? Please contact Mike Moriarty, memoriarty@wisc.edu, 1300 Linden Drive, Madison, WI 53705 USA, if you have any questions.