WIWC Forum

Registration Type*

Exhibitor Display Opportunity
Sponsorship Opportunity

Company Name*

Company Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Main Contact Person*

First Last

Phone*

Email*

Enter Email Confirm Email

Would you like an additional person to receive exhibitor communications?*

Yes
No

Email*

Enter Email Confirm Email

Website*

Service Category*

Case Management
Surveillance
IME
Med/RX Bill Review
Medical Equipment
Legal
Other

Other, please describe:

Will your booth require electricity?*

Yes, we will need electricity
No, we will not need electricity

Name for Complimentary Pass 1

First Last

Name for Complimentary Pass 2

First Last

Is this your first time sponsoring or exhibiting at the WI WC Forum?*

Yes
No

Please describe how your services will benefit the Wisconsin WC Industry

Are you interested in any additional sponsorship opportunities?*

Each opportunity is $500 in addition to the base cost of your sponsorship. Details can be found here.

Yes
No

Which activity are you interested in sponsoring?

Select all that apply.

Wednesday Social Hour
Thursday Social Hour
Thursday Lunch

Logo Upload

If you would like to upload your logo for use in our forum promotional materials and website, please attach it here. If you don't have it ready, you can supply it later.

Acceptable file types are: jpg, png, pdf.
Adobe CS6 or earlier files also accepted are: psd, ai, and eps.
Max size of any file type: 10mb

Accepted file types: jpg, png, pdf, psd, ai, eps, Max. file size: 10 MB.

Comments

2026 Sponsor Registration