Seminar Registration Event*Louisiana Workers' Compensation Dallas SeminarAdjuster Boot CampName* First Last CompanyEmail* Enter Email Confirm Email Phone*Alternate PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PaymentIf mailing payment, mail & write check to: Juge, Napolitano, Guilbeau, Ruli & Frieman Attention: Denise Frieman 3320 West Esplanade Avenue North Metairie, Louisiana 70002 Federal Tax ID number 72-1022092Payment* Online At Event (Bring cash or a check the day of the event) By Mail (Payment must be received by event date) Louisiana Workers' Compensation Dallas Seminar Registration Fee* Price: $50.00 Quantity: Adjuster Boot Camp Registration Fee* Price: $375.00 Quantity: Total $0.00