Request Training

Winners make things happen...Losers let them happen.

In order to request training, please complete the fields below and then click on the Request Training button. We will respond as soon as possible.

Agency Name:

Address:

City, State, Zip:

Phone number:

Other number:

Your Name:

Your email:

Your Position with the agency:

Management system:

Release number or explain Other:

Have you had training subsequent to your original live week? Yes No

Have you had Kip in your office in the past? Yes No

If so, what was the approximate date?

Have you attended any of Kip's seminars/conference sessions? Yes No

If so, what was the approximate date?

Number of employees on the system:

Accounting:

Personal Lines:

Commercial Lines:

Claims:

Reception:

Sys Admin:

Other:

Number of Divisions:

Number of Departments:

Do you want a phone training on a particular topic? Yes No

If yes, please select the topic from this list.

If there are additional topics select again.

Do you want an on-site visit? Yes No

Please detail the problems you see in your agency and explain what your goals are with an on-site consulting visit.

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