The NJ Police Chief Magazine Volume 24, Number 4 | Page 30

NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE 2018 Police Chiefs In-Service Seminar A Leadership Retreat for Senior Commanders Wednesday, September 12—Friday, September 14, 2018 MAKE CHECKS / PURCHASE ORDERS PAYABLE TO AND SEND TO: New Jersey State Association of Chiefs of Police 751 Route 73 North, Suite 12 Marlton, NJ 08053 P/ 856-334-8943 F/ 856-334-8947 E/ [email protected] REGISTRATION FORM Name: ______________________________________________________________________ Rank/Title: ______________________________________________________________________ Agency: ______________________________________________________________________ Address: ______________________________________________________________________ City: ___________________________________ State: _________ Zip: _____________ Phone/Fax/E-Mail: ________________________________________________________________ Form of Payment: Check ___ Purchase Order ___ Credit Card: __Visa __ Mastercard __ AMEX Credit Card #: ________________________________ Expiration Date: __________ CVV: _____ Billing Address: ___________________________________________________________________ City/State/Zip: ____________________________________________________________________ _______________________________________________ ____________________ Siganture Date *******************************  Registration Fee: $700 per person – Please make checks payable to NJSACOP  The Police Chiefs In-Service will be held at: The Seaview Resort, 401 South New York Road, Galloway, New Jersey 08205  Registrants will receive a confirmation prior to the course  Please duplicate this Registration Form for each registrant  Registrations must be paid in advance by check or purchase order  Cancellations must be received by August 15, 2018 29