Request for Loss Prevention Group Viewing Registration Form

Your organization can view the 2022 Loss Prevention program webinars as a group, but to do so you must register your group with KAMMCO. Use this form to request a group viewing registration form.

Please enable JavaScript in your browser to complete this form.

Organization Name *

Your Name *

First

Last

Your Title *

Email *

Phone *

There are two dates for the Loss Prevention webinar. Which date(s) would your group like to attend? *

Tuesday, August 23 from 6–7 p.m.
Thursday, September 1 from 12–1 p.m.

Check all that apply.

Sign Up!

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Suffix

(i.e., MD, DO, RN, PA, etc.)

Email *

Organization, Facility, or Practice *

Position or Title

INSURANCE

RISK MANAGEMENT

CLAIMS

Sign Up!