The NJ Police Chief Magazine Volume 24, Number 3 | Page 11
N EW J ERSEY S TATE A SSOCIATION OF C HIEFS OF P OLICE
THREE DAY PROGRAM—SEE AGENDA FOR TIMES AND LOCATIONS.
FRIDAY, SEPTEMBER 21ST—SUNDAY, SEPTEMBER 23RD, 2018
FEE: $700
PLEASE DUPLICATE THIS FORM FOR EACH REGISTRANT.
REGISTRATIONS MUST BE PAID IN ADVANCE BY CHECK OR PURCHASE ORDER.
YOU WILL RECEIVE AN E-MAIL CONFIRMATION WITH HOTEL INFORMATION PRIOR TO THE EVENT.
CANCELLATIONS MUST BE RECEIVED 14 BUSINESS DAYS PRIOR TO THE COURSE IN ORDER TO BE IS-
SUED A REFUND.
RETURN THIS FORM TO:
NJSACOP
751 ROUTE 73 NORTH, SUITE 12
MARLTON, NJ 08053
FAX #: 856.334.8947
E-MAIL: [email protected]
NAME:
TITLE/RANK/POSITION:
AGENCY/DEPARTMENT:
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE:
FAX:
E-MAIL ADDRESS:
(confirmations will be sent via e-mail)
FEE: $700 PER REGISTRANT
METHOD OF PAYMENT:
_____CHECK ENCLOSED
____ PURCHASE ORDER
CREDIT CARD: ___ VISA ____ MASTERCARD ___ AMEX
BILLING ADDRESS: ______________________________________________________________________________________
CREDIT CARD #: _________________________________________________________________________________________
EXPIRATION DATE: ___________________ CVV: ________________
__________________________________________________________
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10
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