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Nati • • • : • • • January 25-27,2016•Clearnater Beach,Florida FEE Your registration fee includes access to all of the conference CONFERENCE HOTEL•Sheraton Sand Key Resort.Best Florida beach sessions,the virtual conference,the exhibit area,continental breakfasts, location:Clearwater Beach--USA Today lunch(day two only),refreshment breaks,receptions and all conference Ask for the special conference rate of$185—single or double—and materials. mention the"Health Benefits Conference& Expo."Reserve early for TEAM PRICING*:Team pricing is available if four or more individuals the conference rate and a lower government rate(ID required).Hotel from your organization will be attending.A separate registration form deadline is January 8,2016.Phone:(727)595-1611 It sold out, Is required for each Individual attending from that same organization, call HBCE for an excellent alternative at(941)484-1430 or toll-free and registration must be received at the same time. at(844)778-7795. SUBSTITUTION AND CANCELLATION:No penalty if canceled by EXHIBITORS/SPONSORSHIPS:Highlight your company's products and December 30,2015;$75 after that date.Substitutions may be made services in front of a high-level audience of benefit professionals,human at any time by calling(941)484-1430 or toll-free(844)778-7795.The resource executives,risk managers,health plans,consultants and health conference reserves the right to alter this program without prior notice. care,disease management and wellness providers.For information, AIR:Use the convenient Tampa International Airport(TPA)or the contact us at info@HBCE.com. St.Petersburg/Clearwater Airport(PIE). CONFERENCE ATTIRE Business casual. CONFERENCE REGISTRATION RATES Super-Early Bird . Early Bird Conferenca Rate Register by 4131/1015 Register by 12/14,x1015. , Register after 12/14/1015 Individual Team' Individual Tem. Individual Team' Gov't/PebUc (PvPT) ❑ $325 ❑ $250 ❑ $350 ❑ $265 ❑ $450 ❑ $340 Conporate/Prhats (Cl/CT) ❑ $365 ❑$275 ❑ $395 .0 $295 ❑ $495 ❑ $375 Service Provider (sysT) ❑ $440 ❑ $330 ❑ $495 ❑ $375 ❑ $595 ❑ $445 Preconference (PCMON/PCop —N/A— ❑ $95 ❑ $125 Virtual Conference only —WA— ❑ $295 ❑ $350 CONTINUING EDUCATION $25 continuing education service charge due at time of registration(if applicable).The HRCE will apply for CE credit based on requests.You must indicate the professions)for which credit is requested. ❑Actuary ❑Attorney ❑CEBS CPE(fee does not appy) ❑CFP ❑CHES/MCHES ❑CIMA ❑CPA ❑ Insurance producer' ❑ PHR/SPHR/GPHR ❑Other,specify Licensed in the state of License/NPNBAR/CPAI 'Preapproval of programs/seminars is required in ALL insurance states.This prorrss can take up to 90 days.fate requests c uld preclude insurance producers from earring credit NOTE Regom mWe for CE uedk=06 bra do em guranow ediniatrmian etvadlt Priority code:1161831111 (#1663) CREDIT CARD:By fax or mall Full First Name: Middle Initial: _ Last Name: Please complete the following: Title: CREDIT CARD: ❑MC ❑VISA To quWtfy for team discount,please provide name(s)of other attendees from your organization:— ❑AMEX❑DISCOVER Special dietary requirements. CREDIT CARD N0. Company/Organization: Exp.Date Total$ Street Clly: State: ZIP: Coun Name on Card Telephone: Faic Signature E-mall: Public Sector Employer III;Purchase Order I REGISTRATION/ORDER SUMMARY (Please senditz copy with Cels form) Please make checks payable to:Heaffh Betteft Conferenm&Expo Registration fee $ ❑ Please Invoice/bill my company. Preconference fee $ TAX DEDUCTIBILMI Expenses of training,including tuition,lodging and meals,incurred to maintain or improve Virtual Conference fee $ skills in your profession may be tax-deductible.Consult your tax advisor. ®Reglsler ons at Fax b. Md form Livid payer to. CE service fee 1$25) $ � iii (M Meta ®"P l" BaTheilli Corderencs&Expo Total $ P.O.Box 8119651•Chicago,IL 6069544 Contact us at:www.hbco.com 1 (941)484-1430 HBCE is a great conference for anyone who is trying to develop or improve their wellness program. There is a lot of great information. Kelly Faircloth Seminole Electric Cooperative, Inc. 96