State Farm Fire Certification - Atlanta, GA - July 23 Question Title * 1. Please provide your contact information. Name * Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address * Phone Number * Question Title * 2. Please select the session you are attending for the State Farm Fire Certification (must attend both days). July 23 in Atlanta, GA - $25 USD You will pay at the end of this survey. Please be advised we have a maximum capacity of 25 students and your seat in the class will not be reserved until you make a successful payment of $25. DEPLOYMENT: If you are deployed with Crawford & Company at the time of the training, we will work with you to reschedule your registration to a future session.35% of the registration fee will be refunded if cancellation is made on or before July 16, 2021. Any cancellations made after July 16, 2021 will be non-refundable. Done