Register for 3 hours of CE credit with the Illinois Department of Insurance

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* 1. First name (as it appears on your license)

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* 2. Last name (as it appears on your license)

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* 3. Email

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* 4. What event did you attend?

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* 6. Suggestions for future seminars?

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* 7. Any other comments?

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* 8. National Producer Number

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