The NJ Police Chief Magazine Volume 25, Number 1 | Page 20

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 BREAKFAST/SEMINAR REGISTRATION FORM Use this form for personnel attending the Breakfasts & Seminars only. $65 per person per day Agency ___________________________________________________________________________________________________ Address __________________________________________________________________________________________________ City, State, Zip ______________________________________________________________________________________________ Tuesday, June 25, 2019 Breakfast & Seminar “Understanding Human Factors in Lethal Force Encounters” Presented by: Dr. William J. Lewinski, Force Science Institute Breakfast: 7:45am - 9:00am Seminar: 9:00am - 12:00pm Attendee(s) - List by Title & Name: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Wednesday, June 26, 2019 Breakfast & Seminar “Leadership for a Lifetime: How the Past Prepares Us for the Future” Presented by: Paul Butler, Paul Butler Presentations, LLC Attendee(s) - List by Title & Name: Breakfast: 7:45am - 9:00am Seminar: 9:00am – 12:00pm ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ TOTAL AT $65 PER PERSON PER DAY - # OF ATTENDEES ______ X $65 EACH – TOTAL DUE $____________ Make Purchase Orders/Checks payable to: New Jersey State Association of Chiefs of Police Return completed registration form along 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___________________________________________________________________________________________ 19