New Jersey State Association of Chiefs of Police 105th Annual Training Conference June 26 – June 29, 2017


Resorts Casino Hotel & The Atlantic City Convention Center REGISTRATION FORM


Atend t ee Inf orm on ati :


Title & Name___________________________________________________________________________________________________ Agency________________________________________________________________________________________________________ Address_______________________________________________________________________________________________________ City, State, Zip__________________________________________________________________________________________________ Email (required for Confirmation)_____________________________________________________________________________________ County__________________________________


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anon In r ent


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i eeb ow f it of evnts


haedfo pus or ls


r so e ev s at cone n e :


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Name________________________________ Email_____________________________________________ Phone__________________ AD


D OAL Ba uet tcet: $125 per ticket


ITIN nq ik s C l(rhiden) (f uner 1, no fee


ul r itatio i d 8


emerSatusF s/ee: Active [


b t ] Non-Member [ F s i ude


So e SatusF s/ee: F s i l


ee ncl pus t


------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- F otal:


ee ncude ee T s


Attendee fee - Spouse fee -


esay & Wenesay Bre fssS i r, Secal So e Ev (s $____________


d d akat/emnas p i pus $____________


Banquet ticket(s) - $____________ Late fee -


$____________ Mk urc s rer/ Returncm eto pl ae P haeOd sChecs p able t k ay Fax - 856/334-8947 o: New Jersey State Association of Chiefs of Police


edregistration form along with payment information to: NJSACOP - 751 Route 73 North, Suite 12 -Marlton NJ 08053 Tel - 856/334-8943


Credit card info - CC#__________________________________________________________ Expiration date_______ /________ 3 or 4 digit CVV___________ Amount to be charged - $________________ Signature____________________________________________________________________ Address of CC holder_______________________________________________________________________________________________ Hotel room reservations can be made here: https://meetatresortsac.com/vnjc17 OR CALL DIRECT: 888-797-7700& USE CODE VNJC17


Please use the Breakfast/Seminar Registration Form to add additional personnel for Tuesday & Wednesday. Y r c frnc es are no ax deucibld t e as a c r ble c tibonr utio


ou onee efe t t 18 haita n. TOTAL AMOUNT DUE - $____________ s hi


Fl egsr n fee ncude B q s appy:l)


Quantity________ s i l


anuet tck ; d ot ord f yu r it n ful bl i et o n er i o egser i l eow.


Name(s)_______________________________________________________________________________________________________ M


$345 : Hot C efs Ngh, Tu d


] $365 i t


s hi i t esay & Wenesay Bre fssS i r, Insalatio anu


L.E. Associate [ Retired [ d d


]


Active, L.E. Assoc., P.S. Affiliate, Non-Member [ : Hot C efs Ngh, Tu d


akat/emnas ] $195 Retired [ ] $140 ent ), Insalatiot l n Ba nque t


] $345 $185


P.S. Affiliate [ Late fee [


] t l n B qet ] $345 $25i egserng afer 62/1 f r it i t /1 7


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