You are registering for:NYACT NYPTI Joint Seminar * indicates required field. *Company Information Please indicate your affiliation by selecting the appropriate type and your company affiliation. One of the three options MUST be chosen. If your company is not listed, please select the "other" checkbox and fill in your company's name. Insurance Company Affiliation Not Applicable Allstate Insurance AutoOne Insurance CARCO Group Commercial Mutual Insurance Country-Wide Insurance Fiduciary Insurance Global Liberty Insurance Group of New York Hereford Insurance Interboro Insurance Lancer Insurance Liberty Mutual Insurance LibertyRAM MetLife Auto & Home Nationwide Insurance New York Central Mutual Northeast Alliance Insurance Agency, LLC OneBeacon Praetorian Insurance Progressive Insurance Selective Insurance State Farm Fire & Casualty State Farm Insurance State-Wide Insurance Travelers USAA Law Enforcement Agency Affiliation Not Applicable Federal Bureau of Investigation (FBI) Motor Vehicle Accident Indemnification Corporation (MVAIC) MTA New York City Transit Nassau County Police Department National Insurance Crime Bureau New York Auto Insurance Plan (NYAIP) New York City Department of Consumer Affairs New York City Police - Auto Crime Division New York City Taxi & Limousine Commission New York State Attorney General's Office New York State Department of Motor Vehicles (DMV) New York State Insurance Department - Frauds Bureau New York State Police New York State Workers' Compensation Board - Frauds Department NYC Comptroller's Office NYS OAG Suffolk County Police U.S. Postal Frauds Department Westchester County Police Other Affiliation (indicate company or agency) Personal Information Title or Rank: *First Name: *Last Name: *Contact Email: *Contact Telephone Number: Contact Fax: *Address: *City: *State: *Zip: Would you like to be added to our mailing list? Would you like to become a member? If you would like to speak to someone at NYACT, please call our office at 518-694-8470.
