Seminar Registration

Event*
Name*
First Last
Company
Email*
Enter Email Confirm Email
Phone*
Alternate Phone
Address*
Street Address Address Line 2 City State ZIP Code
Payment
If 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 72-1022092
Payment*
- 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

Payment