Local Government Insurance Trust, MD

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Training Registration

Please register below using our online registration form. Course details are available on the Calendar.
If you experience technical difficulties with online registration, please contact us at 800.673.8231 for assistance.
Course Selection
Available Courses (must select course from dropdown menu)
*
Local Government*
Contact Information
Contact Name*
Email*
Contact Job Title*
Contact Department*
Phone Number (no spaces or hyphens)*
Fax Number (no spaces or hyphens)
Street Address*
P.O. Box
City*
State*
Zip Code*
Billing Address (if different from address above)
P.O. Box
City
State
Zip Code
Attendee(s) Information
First Attendee:
First Name*
Middle Initial*
Last Name*
Job Title*
Department*
Second Attendee:
First Name
Middle Initial
Last Name
Job Title
Department
Third Attendee:
First Name
Middle Initial
Last Name
Job Title
Department