Member Login:

2021 Well Workplace University

Well Workplace University

 

Pricing: 

WCWI Members: $119
Non-Members: $159

Before you register for the workshop, be sure read our cancellation policy.

 

REGISTER

Choose Session Date: 
[[ The Lookup input is configured from the Data Editor block ]]

 

Step 1: Business Information

Note: Do not refresh your browser or use the browser's back or forward buttons during this registration process. Your information will be lost.

 

Company Profile

Membership Level
[[ The Lookup input is configured from the Data Editor block ]]
Business Name
 *Required
Business Address
 *Required
Building/Room/Suite or PO Box
Business City
 *Required
Business State
 *Required
Business Zip Code
 *Required
Number of Employees
 *Required
Business Type
[[ The Lookup input is configured from the Data Editor block ]]

 

Billing Contact Information

Note: Your billing contact will receive the invoice and confirmation emails at the end of the registration process. 

First Name
 *Required
Last Name
 *Required
Title
 *Required
Phone
 *Required
Email
 *Required

 

Additional Primary Contact

If you would like another person to receive the invoice and confirmation emails at the end of this process, enter their email address here.

Primary Contact Email

 

Other Information

 

How long has your health promotion initiative been in place?

 

2021 Well Workplace University Registration

Step 2 of 2: Attendee Information

Note: If your Billing Contact is also attending the conference, you must also enter that person's information into this section.

 

Attendee Profile

First Name
 *Required
Last Name
 *Required
Title
 *Required
Phone
 *Required
Email
 *Required
Please list any dietary allergies and/or special accomodations required.

 

Review Your Information

Please verify the information below and select Pay With Credit Card or Pay by Invoice to complete your registration. Please contact our Member & Program Coordinator, Erin Wentworth at 262.696.3658 if you have additional questions.

Processing your registration...

 
 

 

By Mail: P.O. Box 524 Brookfield, WI 53008-0524

By Email: wcwi@wellnesscouncilwi.org.

By Phone: 262.254.7888

SCHEDULE A COMPLIMENTARY CONSULTATION

top