2. If you have any difficulties completing the form below, please contact Michele Keplinger at MicheleK@lgit.org for assistance.

4. FOR LGIT MEMBERS ONLY

   To request a Dart Simulator Equipment Reservation, please complete the form below.
6. First Name*
7. Last Name*
9. Email*
10. Phone Number*
12. Job Title*
13. Local Government*
15. Number of Days to Reserve*
    -- Select One --123

    The DART simulator can be reserved for up to 3 business days

16. Additional Comments or Requests
18. Proposed Date 1*
    Proposed Date 1
19. Proposed Date 2*
    Proposed Date 2
20. Proposed Date 3*
    Proposed Date 3
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field