Full Name:
Safety Share Group October 2-3, 2013 San Antonio, TX Travel Information Hotel: Hilton San Antonio Hill Country 9800 Westover Hills Blvd San Antonio, TX 78251 1-210-509-9800 Group Reservation Code: SIGMA King $124/night ++ Double Queen $124/night ++ 1BR King Suite $159/night ++ *Make your own room reservation by calling the hotel.
Wednesday, Oct 2 8:00 a.m. – 4:45 p.m. The 7 Most Important Things to Remember in a Vehicle Related Catastrophic Incident Mike H. Bassett, The Bassett Firm
Taking a Proactive Approach to Risk Management Mike Jellicorse, Rogers Petroleum/LubriCorp
Breakout: What Are the Major Gaps in Your Current Risk Management Safety Programs? Be More Proactive with Environmental Remediation Tristan Steichen, Antea Group
Reservations must be received by September 19, 2013 in order to receive the special group rate. After this date reservations will be accepted on a space available basis. If you try to make a reservation and the block is sold out, please contact Mary Alice Kutyn at [email protected] or 703-709-7000.
Establishing a Risk Management Culture: Injury Prevention, Distracted Driving and Claims Management Bill Daily Colin, Federated Insurance
Breakout: What Elements of a Risk Management Culture Should You Embrace? Networking Reception
Airport: San Antonio International Airport (SAT)
Thank you to the 2013 Safety Share Group Sponsor
Thursday, Oct 3 8:00 a.m. – 12:00 p.m. Storing and Transporting Petroleum Products - Ensure Compliance with EPA Environmental Regulations Herb Meade, Carroll Independent Fuel Group
Breakout: What are the Gaps in Your Environmental Compliance Programs? Register online: www.sigma.org Return Form To: SIGMA 3930 Pender Drive #340 Fairfax, VA 22030 Phone: 703-709-7000 Fax: 703-709-7007
Scorecards - What are the Best Leading and Lagging Indicators for Risk Management? Bill Daily Colin, Federated Insurance
Breakout: What Are Your Leading and Lagging Indicators On Safety Dashboards? Breakout: What Are the Hot Topics That Keep You Up at Night?
Safety Share Group Form: October 2 – 3, 2013 San Antonio, TX Company Name: Address: City:
State:
Zip:
Phone: E-Mail:
List all Attendees Job Title
Name
Email Address
Registration Fees
SIGMA MEMBERS & ILMA MEMBERS
EARLY BIRD
REGULAR RATE
LATE RATE
AMOUNT
THRU AUG 5
AUG 5 – SEPT 5
AFTER SEPT 5
DUE
THROUGH DEC
ALL MEMBER CATEGORIES
8 FIRST REGISTRANT
$499
$599
$649
EACH ADDITIONAL REGISTRANT
$349
$399
$449
***MEMBERS REGISTER ONLINE AT SIGMA.ORG AND SAVE $50 OFF EACH REGISTRATION FEE! NON MEMBER/PROSPECTIVE PLEASE CONTACT [email protected] FIRST REGISTRANT
$1099
$1199
$1249
TOTAL AMOUNT DUE Check Enclosed Card # | | | Signature:
| |
Credit Card (Visa, MasterCard, or American Express, only) | |
|
| |
| | |
| |
| |
Expiration Date:
Date:
CANCELLATION POLICY: Registrations cancelled in writing: 45 days in advance (100% refund); 30-45 days in advance (75% refund); 15-29 days in advance (50% refund); less than 15 days notice (NO REFUND). SIGMA reserves the right to cancel if fewer than 12 people are registered 30 days prior to the Share Group.
Wednesday, Oct 2 8:00 a.m. – 4:45 p.m. The 7 Most Important Things to Remember in a Vehicle Related Catastrophic Incident Mike H. Bassett, The Bassett Firm
Taking a Proactive Approach to Risk Management Mike Jellicorse, Rogers Petroleum/LubriCorp
Breakout: What Are the Major Gaps in Your Current Risk Management Safety Programs? Be More Proactive with Environmental Remediation Tristan Steichen, Antea Group
Reservations must be received by September 19, 2013 in order to receive the special group rate. After this date reservations will be accepted on a space available basis. If you try to make a reservation and the block is sold out, please contact Mary Alice Kutyn at [email protected] or 703-709-7000.
Establishing a Risk Management Culture: Injury Prevention, Distracted Driving and Claims Management Bill Daily Colin, Federated Insurance
Breakout: What Elements of a Risk Management Culture Should You Embrace? Networking Reception
Airport: San Antonio International Airport (SAT)
Thank you to the 2013 Safety Share Group Sponsor
Thursday, Oct 3 8:00 a.m. – 12:00 p.m. Storing and Transporting Petroleum Products - Ensure Compliance with EPA Environmental Regulations Herb Meade, Carroll Independent Fuel Group
Breakout: What are the Gaps in Your Environmental Compliance Programs? Register online: www.sigma.org Return Form To: SIGMA 3930 Pender Drive #340 Fairfax, VA 22030 Phone: 703-709-7000 Fax: 703-709-7007
Scorecards - What are the Best Leading and Lagging Indicators for Risk Management? Bill Daily Colin, Federated Insurance
Breakout: What Are Your Leading and Lagging Indicators On Safety Dashboards? Breakout: What Are the Hot Topics That Keep You Up at Night?
Safety Share Group Form: October 2 – 3, 2013 San Antonio, TX Company Name: Address: City:
State:
Zip:
Phone: E-Mail:
List all Attendees Job Title
Name
Email Address
Registration Fees
SIGMA MEMBERS & ILMA MEMBERS
EARLY BIRD
REGULAR RATE
LATE RATE
AMOUNT
THRU AUG 5
AUG 5 – SEPT 5
AFTER SEPT 5
DUE
THROUGH DEC
ALL MEMBER CATEGORIES
8 FIRST REGISTRANT
$499
$599
$649
EACH ADDITIONAL REGISTRANT
$349
$399
$449
***MEMBERS REGISTER ONLINE AT SIGMA.ORG AND SAVE $50 OFF EACH REGISTRATION FEE! NON MEMBER/PROSPECTIVE PLEASE CONTACT [email protected] FIRST REGISTRANT
$1099
$1199
$1249
TOTAL AMOUNT DUE Check Enclosed Card # | | | Signature:
| |
Credit Card (Visa, MasterCard, or American Express, only) | |
|
| |
| | |
| |
| |
Expiration Date:
Date:
CANCELLATION POLICY: Registrations cancelled in writing: 45 days in advance (100% refund); 30-45 days in advance (75% refund); 15-29 days in advance (50% refund); less than 15 days notice (NO REFUND). SIGMA reserves the right to cancel if fewer than 12 people are registered 30 days prior to the Share Group.
