Reg IV

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REGION IV Class Selection

CE Classes *

03/25/23 9a - noon Doing the Right Th1ings, Doing Things Right 3 Ethics CE

Please read the following notes
Region IV IAIP Members are receiving classes as part of membership.
Region IV members will receive the course procedures emailed a few days before class.
Those who are not members will be invoiced $50 for the course/s selected.

All those registering for these courses will receive information about attending procedures from jkholstine@insuranceeducators.net and a link from Customercare@GoToWebinar.com with the course webinar link a couple of days prior to the event. Please check your spam folder if you do not receive these emails by the morning of the event. If not received, please contact Janet K Holstine at email jkholstine@insuranceeducators.net or phone or text 269-323-2042.

If you are requesting Continuing Education Credits - indicate the Region IV state of resident license (dropdown menu) and provide your license or NPN number. CE approval has been received in all our states.

Complete class registration by clicking the green "Register For Class" button in the bottom right of this form. All required information (indicated by *) must be included for the registration to process.

After registration is submitted you may automatically be directed to the payment page. If this occurs, please just click through if a Region IV member.

Thank you for your registration. "See" you at the event for which you registered. Please contact me with questions.

Your Information

First Name *

Middle Initial *

Last Name *

Preferred Name *

Personal Email *

Business Email *

Mobile Phone Number *

Business Phone Number *

System ID / License Number / NPN if CE is requested *

Organization/Work place *

Local IAIP Association *

Region *

State *

Current Designations *

Comments *

THANK YOU for registering for the Region IV courses.

PLEASE NOTE: No information provided will be shared with others and will only be used to contact the registrant.

Email is our default & preferred method of communication. Please provide your business AND personal email. This is necessary as we may need to contact you outside normal work hours or in the event there is an error in your email address. Cell phone numbers may be used to text if email bounces back. As a final means of contact, we will call during work hours if possible.

REGION IV Class Selection​

Your Information

REGION IV Class Selection