Wufoo
CE Training Classes Registration Form (WNPA)
Sponsored by Paul Davis Restoration Of Western PA
Courses will be held at:
Shakespeare’s Restaurant
Grand Hall
1495 Mercer Road
Ellwood City, PA 16117
Classes are free but registration is required. A complimentary lunch is offered. Coffee and water are provided throughout the day, breakfast muffins/danishes in the morning and cookies/chips/soda in the afternoon for breaks. Please remember to bring your business card for our Door Prize drawings.
For additional information you are welcome to contact Kathy Genova at 724-758-6540.
Name
*
First
Last
Phone Number
*
###
-
###
-
####
Email
*
Agency
*
License / Producer No.
*
State(s) where you are seeking credit:
*
CE Class Selection(s)
*
#1 Fire! And the Insurance Industry, March 22 2012, 9AM – 1PM
#2 Ethically Speaking, March 22 2012, 12PM – 4PM
Lunch
*
Yes - Sandwich & Soup for lunch
Yes - Salad & Soup for lunch
No, I will not be able to attend lunch.
Questions or Comments?
Do Not Fill This Out
Wufoo
Powered