The NJ Police Chief Magazine Volume 25, Number 1 | Page 19

New Jersey State Association of Chiefs of Police 107 th Annual Training Conference June 24 – June 27, 2019 Resorts Casino Hotel & Atlantic City Convention Center REGISTRATION FORM Registrations fees – Active Chief-NJSACOP member - $375 Non-member of NJSACOP - $395 Associate-NJSACOP member - $375 Retired Chief-NJSACOP member - $190 Spouse/Companion of Active, Associate, Non-Member - $205 Spouse/Companion of Retired member - $140 Above registration fees include admission to Host Chiefs Night-Breakfasts-Seminars-Special Spouse Event-Installation Banquet Attendee information: Title & Name _________________________________________________________________________________ Agency _____________________________________________________________________________________ Address _____________________________________________________________________________________ City, State, Zip ______________________________________________ County ___________________________ Email (required for confirmation) ____________________________________________________________________ ========================================================================================== Spouse/Companion information if registering in full as above: Name ____________________________________________________ Email ____________________________ ========================================================================================== Child(ren) – 18 & under – no fee required: Name(s) ______________________________________________________________________________________ =========================================================================================== Fee Totals: Attendee Spouse/Companion $___________ $___________ TOTAL $___________ P.O.#__________; Check#_______; CC -Visa, MC, Amex accepted-see below Make P.O./check payable to: New Jersey State Association of Chiefs of Police Send registration form with payment information to: 751 Route 73 North, Suite 12 – Marlton NJ 08053 Fax: 856/334-8947; email: [email protected] Credit card info-CC# ___________________________________________ Exp date _____/______ Security Code ________ Address of CC holder _________________________________________________________________________________ Amount to be charged $_________________ Signature ___________________________________________________ Hotel room reservations can be made at: https://meetatresorts.com/vnjc19 OR CALL DIRECT: 888/797-7700; USE CODE VNJC19 Use the Breakfast/Seminar Registration Form for additional personnel for Tuesday & Wednesday; Additional tickets can be ordered for Host Chiefs Night and the Annual Installation Banquet upon request. Your fees are not tax deductible as a charitable contribution. 18