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2. If you have any difficulties completing the form below, please contact Samuel Becker at SBecker@lgit.org for assistance.

4. FOR LGIT MEMBERS ONLY

   To request a Defensive Driving Course (DDC) training session, please complete the form below.
6. First Name*
7. Last Name*
9. Email*
10. Phone Number*
12. Job Title*
13. Local Government*
15. Proposed Date 1*
    Proposed Date 1
16. Proposed Date 2*
    Proposed Date 2
17. Proposed Date 3*
    Proposed Date 3
19. Estimated Number of Employees Attending Training
20. Additional Comments or Requests
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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