NAMIC FMDC Application


NAMIC FMDC Application
Registration Policy | Questions / Support

Please fill out all required fields and submit with payment. If you have attended (and signed in at) any FMDC courses in the past, please enter the title, date and location to receive credit. Applications are processed within 14 days.

 PURCHASER PROFILE
* indicates required field

Purchaser:
*
First Name
 todo Last Name
 todo Suffix‡
  ‡ (Jr., Sr., MBA, etc.)
Company Name: *
Job Title: *
todo
Mailing Address: *
Address 2:
City, State/Province *
, 
Zip/Postal Code: *
Country: *
todo
Telephone: * (ex: (xxx) xxx-xxxx)
Email: *  
todo

 FEES
Fees 

 ADDITIONAL OPTIONS
REQUIRED: Board Involvement – please list the farm mutual company board you are on along with the year of your first term.
Please list any FMDC courses you’ve attended previously with the date and location. Only sessions you signed in at will qualify.

If you have registered for an event, you are subject to the terms and conditions of participation at this event as contained in the Event Participation Terms and Conditions found at http://www.namic.org/seminars/terms.asp and will be notified to such by the person completing this registration.
Event Status=Closed T1(forced test mode)=