Course Name: National Fire Service Staff And Command
Log Number: MGTS-301-R002-2024
Class Start Date & Time: 03-03-2024 at 18:00
Class Location: DoubleTree by Hilton Hotel Annapolis
Class Fee: 2075.00
First Name
Middle Name
Last Name
Suffix
Jr
Sr
I
II
III
IV
V
VI
Please use complete legal name as shown on your photo identification.
Example: Joseph Jay Smith
Birth Date
Enter date in format: MM/DD/YYYY or select with pop-up calendar.
Example: 07/20/1969
SSN
Example: 123-45-6789
Address
Example: 8811 60th Avenue
City
Example: College Park
State
Example: MD
Zip Code
Example: 20742
Country
Example: US
Email Address
Example: info@mfri.org
Confirm Email Address (Must match email address entered above.)
Primary Phone Number
Example: 301-226-9900
Affiliation
Example: Berwyn Heights Volunteer Fire Department