2. Local Gov 101 Webinar Registration

   Please complete the form below. This contact information will be used to send you webinar links for all offerings of this class through the calendar year.
   
   *May 12 - Webinar 
   
   *October 27 - Webinar 

4. Webinar Attendee:
   Contact information.
6. FIrst Name*
7. Last Name*
8. Municipality/Company*
10. Title*
11. E-mail Address*
13. Street Address*
15. City*
16. State*
17. Zip Code*
18. Phone Number*
20. Workshop Materials

    please indicate what form you would like to receive the workshop workbook in below:

    1. Printed Workbook
    2. PDF File on USB Drive
    3. Download Link for PDF
22. Webinar Attendee Registration Fee
    Session Attendee
23. Price
25. Quantity
26. Shipping Cost
27. Taxable
29. Additional Notes...
    Is there anything else we need to know?
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field