Attendee Registration

Please use the drop-down below to select how many people you are going to register for this event. If you are not attending, but are just registering others from your company and would like to be the group contact, please select "I am not attending". This will ensure that you receive all communication that your attendees receive.

In order to be eligible for the multi-attendee discount rates, registrants must be from the same NAMIC Member primary insurance company and attending the same event.

1-30 Attendees

I am not attending

Group Contact

Contact Details

First Name

Last Name

Organization

Email Address

Verify Email Address

Group Members

Group Size

Contact Details

Prefix/Title

First Name

Last Name

Suffix

Badge Name

Organization

Job Title

Email Address

Verify Email Address

Work Phone

Mobile Phone

Mobile Phone Type

Dietary Requirements

Primary Address

Street Address Line 1

Street Address Line 2

Street Address Line 3

Address City

Address State

Address Country

Address Postcode

Address Type

Emergency Contact Information

Emergency Contact - Name

Emergency Contact - Phone

How did you learn about this event?

NAMIC Electronic Promotion

NAMIC Online Website

NAMIC Printed Promotion

Social Media

Word of Mouth

Other Industry Website

How many years of experience do you have?

Less than 1 Year

1-5 Years

6-10 Years

11-15 Years

16-20 Years

21+ Years

What is your job level category?

Board of Directors

President/C-Suite

SVP/AVP/VP/EVP

Manager/Director

Coordinator (Entry Level)

What is your primary job function?

Corporate Communications

Marketing/Advertising

Public Relations

Agent/Agency Relations

Vendor/Reinsurer/Service Provider

Other

Thank you for your registration!

Please check your email for your confirmation and receipt/invoice. Check out the NAMIC Event Calendar to learn more about other events and webinars we have planned for this year.

To ensure you don't miss out on important updates, we kindly ask you to add our email address events@namic.org to your email whitelist. This small step will help make sure our emails reach your inbox instead of ending up in your spam folder. This is usually accomplished by adding our email address to your email program’s ‘Contacts’ or ‘Safe Senders’ list.

If you are receiving our emails through a company email system, you may need to ask your IT support to whitelist our email events@namic.org. This would help ensure our emails get through to everyone at your business.

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