The NJ Police Chief Magazine Volume 23, Number 7 | Page 30

Return this form to: NJSACOP
751 Route 73 North,
Suite 12, Marlton, NJ 08053
Fax # [phone]
NJSACOP Office Use Only
Date Received
_____
Confirmation sent _____
Payment Received _____
Fee: $550.00
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Registrations must be received by February 26th
You will receive an email confirmation
Cancellations must be received by March 1st
Chief’s Name / Date of Appointment
____________________________________________________________________________________
Agency / Department
____________________________________________________________________________________
Address
____________________________________________________________________________________
City / State / Zip
____________________________________________________________________________________
Tel. / Fax / E-Mail
____________________________________________________________________________________
o My “Second in Command” will also be attending for an additional $550.00
Name: ______________________________________________________________________________
TOTAL: ________________
METHOD OF PAYMENT:
Check Enclosed
29
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