PAMIC : Underwriting & Loss Prevention Seminar

CE Credits
This Seminar has been submitted to the Pennsylvania Department of Insurance for 5 CE Credits. To request credits outside of PA, please call PAMIC at 717-303-0197. Call early as credit requests must be submitted in advance.

Cancellation Policy
A full refund (minus a $25 processing fee) for this seminar will be given if a cancellation notice is received on or before October 30, 2009. Cancellations received after this date will not be eligible for a refund. Please note that if you pre-register and fail to show up without contacting the office you will be billed the cost of the seminar.

Underwriting & Loss Prevention
Seminar Registration Form

* required field

name*
nickname for badge
company
address*
city / state / zip code*	P Co de*
phone*
e-mail*
Please describe any Dietary or Accessibility Needs, if applicable:

CE CREDITS

I would like to receive PA CE Credits for this seminar.

License Number: (required for credit reporting)

PAYMENT

Please select from the following options:

PAMIC Member/Associate: $125
Non-Member: $200

TOTAL DUE

Please select your payment option from one of the following:

I will be sending a check to pay for my registration

Please send an invoice

Pay online using my credit card.* (Click on the Paypal button after hitting 'Submit.')

* Please note that a $5 service fee will be charged for using this service.

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