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 BREAKFAST/SEMINAR REGISTRATION FORM
This form to be used for personnel attending the Breakfasts & Seminars only. $50per person per day
__________________________________________________ Address_____________________________________ ____________ City, State, Zip________________________________________________
Agency_____________________________________ ____________ _________________________________________________ __________________________________ ____________
“er F gus , Msoui on is r: Pr dng Ef
Tuesday, June 27, 2017 Breakfast & Seminar ovii
fectv ie Le ades p i rhi n a Crii iu n” ss Statio
Presented by: Chief Jon Belmar, St. Louis County Police Dept. Breakfast: 7:45am - 9:00am
Atend (s t ee )-Lit b te& Nme s y Til a : ___________________________________________________ ____________________________________ _______________
______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Wednesday, June 28, 2017 Breakfast & Seminar
“usai ng M S t ni otivaton By Bei i ng A Tr sormanf atio l Lena ade r”
Presented by: Michael Bret Hood, SA, FBI (Ret.), 21st Century Learning & Consulting, LLC Breakfast: 7:45am - 9:00am
Seminar: 9:00am – 12:00pm Atend (s t ee )-Lit b te/ a : s y Til Nme
______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mk urc s rer/ ae P hae Od sChecs p able t
TOTAL # of attendees for both days__________ @$50 each - $_____________ k ay
o: New Jersey State Association of Chiefs of Police
Return completed registration form along with payment information to: NJSACOP - 751 Route 73 North, Suite 12 -Marlton NJ 08053 Tel - 856/334-8943 Fax - 856/334-8947
Credit card info - CC#________________________________________________________________ Expiration date______ /________ 3 or 4 digit CVV_____________ Amount to be charged - $_____________
Seminar: 9:00am - 11:00am
Signature_______________________________________________________________ Address of CC holder___________________________________________________________________________________________ Yu ofeec ei ao es ae nt ta eutil s a cai be cniuo. or cn rne rgstrtin fe r o x ddcbe a hrtal otrbtin 19
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