PAMIC : Mutual Insurance Day

Mutual Insurance Days Registration Form

There is no charge to PAMIC Members for this event; however, it is necessary for you to register in order for us to have an accurate count for seating and lunch. Thank you!

* required field

name*
nickname for badge
company
address*
city / state / zip code*	P Co de*
phone*
e-mail*

please check the events you will be attending* Monday, February 2: All Sessions and Lunch Afternoon Sessions Only – No Lunch Tuesday, February 3: Breakfast at the Capitol with Legislators Visits with my State Senator & Representatives

my state senator is:
my state representative is:
other legislators i would like to visit:

> Get directions to the Hilton Harrisburg
> Download the Registration Flyer