2022 Safety Excellence Awards Registration

Thursday, April 14, 2022 
5:00 p.m. - 9:00 p.m. 
 
L’Auberge Casino Hotel Baton Rouge
777 L'Auberge Ave., Baton Rouge, LA, 70820
Annual Partners Receive Prepaid Seats or a Table, but you must register to have your Seats/Table confirmed*

Platinum - Table for 10, premium location

Gold - Table for 10

Silver - 5 seats

Bronze - 2 seats

REGISTRATION DEADLINE
April 7th, 2022
1.Event Sponsorship
2.General Attendance
3.Company Name
4.Company Address
5.Contact Person Registering
6.Contact Phone Number
7.Contact E-Mail Address
8.How many tables of 10 at $1,200 per table would you like to reserve?
9.How many individual tickets at $150 per seat would you like to reserve?
10.List Both Name and Company of attendees:
11.List Both Name and Company of attendees:
12.How would you like to pay?