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Kansas Bail Agents Association
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MEETING NOTICE
KBAA CE Class Registration
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April 23 2021 Wichita
June 11 2021 Salina
Sept 10 2021 Olathe
Nov 5 2021 Wichita
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BE CAREFUL! You need to enter your FIRST and LAST NAME here as you want them printed on your certificate. They need to be in ALL CAPS. If your browser auto-fills to anything but ALL CAPS - edit it! Remember if it's wrong here, it will be wrong on your certificate!
First Name
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Last Name
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Use this nickname field for your name tag preference, if you have one.
Nickname
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Address
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City
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ST
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Zip
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Email
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** IMPORTANT - This email needs to be the INDIVIDUAL'S EMAIL - not a main company email. Class reminders and newsletters will go to this email address.
Work Phone
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Home Phone
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Cell Phone
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Name of Company
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Type of Agent
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Insurance
Property
New Agent
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Years in Business
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Payment Arrangement
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Check in Mail
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Will this registration be paid for by someone else other than registrant? If so, name of payee
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Any Special Notes on this Registration?
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When you click register you will be redirected to a page with links for payment options, you will also be sent an email with a copy of the answers on this form AND a copy of link to the payment options in case the landing page is lost. Check your junk folder if you do not see a copy arrive soon.
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