New Jersey State Association of Chiefs of Police 110 th Annual Training Conference June 27 – June 30 , 2022 Hard Rock Casino Hotel & Atlantic City Convention Center BREAKFAST / SEMINAR REGISTRATION FORM
Registration for personnel attending the Breakfasts & Seminars only . $ 65 per person per day
Agency ___________________________________________________________________________________________________
Address __________________________________________________________________________________________________ City , State , Zip ______________________________________________________________________________________________
Tuesday , June 28 , 2022 Breakfast & Seminar “ TBD ” Presented by : TBD
Breakfast : 7:45am - 9:00am Seminar : 9:00am - 12:00pm
Attendee ( s ) - List by Title & Name : ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Attendee ( s ) - List by Title & Name :
Wednesday , June 29 , 2022 Breakfast & Seminar “ TBD ” Presented by : TBD
Breakfast : 7:45am - 9:00am
Seminar : 9:00am – 12:00pm
______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
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$ 65 PER PERSON PER DAY - # OF ATTENDEES FOR BOTH DAYS ______ 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 / email – mjgaines @ njsacop . org Credit card info - CC #_________________________________________________________________________________________
Expiration date ______ /________ CVV _____________ Amount to be charged - $_____________
Signature _______________________________________________________________ Address of CC holder ___________________________________________________________________________________________
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