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

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* 1. Event Sponsorship

$5,000 - CENTERPIECE SPONSOR (1 available): Company logo displayed at each banquet table. Staff will work with the sponsor to select the perfect representation for your company.

$2,500 - LIGHTED LOGO SPONSOR (1 available): Company logo projected on both sides of the banquet room wall.

$2,500 - ENTERTAINMENT SPONSOR (1 available): Company logo displayed on stage with the Taylor Nauta Band before the program begins.

$2,500 - COCKTAIL SPONSOR (1 available): Company logo displayed on bar napkins, logo displayed on all bars, and ability to customize a cocktail named after your company.

$1,950 - PLATINUM TABLE SPONSORSHIP: Table for 10, premium seating and logo displayed at the event.

$1,750 - GOLD TABLE SPONSORSHIP: Table for 10 and logo displayed at the event.

$1,025 - SILVER SEAT/LOGO SPONSORSHIP: 5 seats and logo displayed at the event.

$500 - BRONZE SEAT/LOGO SPONSORSHIP: 2 seats and logo displayed at the event.

Not Interested in Sponsoring

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* 2. General Attendance

$1,200 - Table for 10

$150 - Individual Seat

Multiple Seats at $150/each (add number in comments)

How many seats?

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* 3. Company Name

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* 4. Company Address

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* 5. Contact Person Registering

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* 6. Contact Phone Number

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* 7. Contact E-Mail Address

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* 8. How many tables of 10 at $1,200 per table would you like to reserve?

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* 9. How many individual tickets at $150 per seat would you like to reserve?

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* 10. List Both Name and Company of attendees:

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* 11. List Both Name and Company of attendees:

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* 12. How would you like to pay?

Check (Please Note: Seats and Tables will be reserved once check is received. You can deliver to our office as well.)

Invoice Me/Credit Card (Please Note: Seats and Tables will be reserved once paid.)

N/A - Annual Partner with no additional seat/table purchases