New Jersey State Association of Chiefs of Police 106 th Annual Training Conference June 25 – June 28 , 2018 Resorts Casino Hotel & The Atlantic City Convention Center REGISTRATION FORM
Attendee Information :
Title & Name ___________________________________________________________________________________________________ Agency ________________________________________________________________________________________________________ Address _______________________________________________________________________________________________________ City , State , Zip __________________________________________________________________________________________________ Email ( required for Confirmation )_____________________________________________________________________________________ County __________________________________ BLAUER ® POLO SHIRT SIZE _______________
Our sponsors for this are as follows : Blauer , Samzie ’ s Uniforms , Blackington Badges , Armor Express Body Armor
Spouse / Companion Information : DO NOT REGISTER SPOUSE / COMPANION IF THEY WILL NOT ATTEND ALL EVENTS AS LISTED BELOW
Name _______________________________________ Email ( required for event notification )______________________________________
ADDITIONAL Banquet tickets : $ 135 per ticket Quantity _____
FULL registration fees include Banquet ticket ; do not order if you register in FULL below .
Child ( ren ) ( 18 and under--no fees apply ): Name ( s )_______________________________________________________________________________________________________
Member Status / Fees : Active-Chiefs only [ |
] $ 365 |
L . E . Associate [ |
] $ 365 |
P . S . Affiliate [ |
] $ 365 |
Non-Member [ |
] $ 385 |
Retired [ |
] $ 185 |
Late fee [ |
] $ 35 if registering after 6 / 21 / 18 |
Fees include : Host Chiefs Night , Tuesday & Wednesday Breakfasts / Seminars , Installation Banquet |
Spouse Status / Fees : Active , L . E . Assoc ., P . S . Affiliate , Non-Member [ |
] $ 205 |
Retired [ |
] $ 140 |
Fees include : Host Chiefs Night , Tuesday & Wednesday Breakfasts / Seminars , Special Spouse Event ( s ), Installation Banquet |
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Fee Totals : |
Attendee fee - |
$____________ |
Spouse fee - $____________ Banquet ticket ( s ) - $____________ Late fee - $____________ TOTAL AMOUNT DUE - $____________
Make Purchase Orders / Checks payable to : New Jersey State Association of Chiefs of Police
Return registration form 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 - $________________ Signature ____________________________________________________________________ Address of CC holder _______________________________________________________________________________________________
Hotel room reservations can be made here : https :// meetatresortsac . com / vnjc18 OR CALL DIRECT : 888-797-7700 & USE CODE VNJC18
Please use the Breakfast / Seminar Registration Form to add additional personnel for Tuesday & Wednesday . Your conference fees are not tax deductible as a charitable contribution .
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