Trucking Boot Camp | Registration

CHOOSE YOUR CONFERENCE*

GENERAL INFORMATION

NAME*

FIRST LAST

COMPANY*

EMAIL ADDRESS*

BAR NUMBER

If you are needing CLE credit

TEXAS LICENSE #

ARIZONA LICENSE #

COLORADO LICENSE #

NEBRASKA LICENSE #

PENNSYLVANIA LICENSE #

ILLINOIS LICENSE #

FLORIDA LICENSE #

GEORGIA LICENSE #

TERMS AND CONDITIONS*

By checking this box and registering for the Trucking Claims Boot Camp I am agreeing to the terms of admission. I acknowledge that I am a claims professional, insurance broker, in house counsel, or am otherwise employed in the claims industry on behalf of insurance companies or other businesses. I am not a practicing attorney, employee of a law firm, or competitor to one of the seminar sponsors. I am registering for this event for education and not to promote, sell or market any goods or services. I understand and acknowledge that the administrators of this event may decline admission to me or anyone that in their sole discretion they feel may in any way violate these terms and conditions or is otherwise not an appropriate attendee for this event.

CAPTCHA