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:
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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
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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___________________________________________________________________________________________
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