NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE
CONTEMPORARY ISSUES IN POLICE ADMINISTRATION National Conference Center / Holiday Inn East Windsor , New Jersey
Monday , September 26 — Friday , September 30 , 2022
MAKE CHECKS / PURCHASE ORDERS PAYABLE TO AND SEND TO : New Jersey State Association of Chiefs of Police 751 Route 73 North , Suite 12 Marlton , NJ 08053 E / registrations @ njsacop . org ******** COST : $ 995 . 00 per attendee
REGISTRATION FORM
Name :
______________________________________________________________________ Rank / Title : ______________________________________________________________________ Agency : Address : City :
______________________________________________________________________ ______________________________________________________________________ ___________________________________ State : _________ Zip : _____________ Phone / Fax / E-Mail : ________________________________________________________________ Form of Payment : Check ___ Purchase Order ___ Credit Card : __ Visa __ Mastercard __ AMEX Name on Credit Card : _______________________________________________________________ Credit Card #: _____________________________________________________________________ Expiration Date : _________________
Security Code : __________ Billing Address : ___________________________________________________________________ City / State / Zip : ____________________________________________________________________
________________________________________ Signature
____________________ Date
________________________________________ Chief ’ s Endorsement / Signature
• Deadline for Registration : September 1 , 2022 [ space permitting ]
• Registrants will receive a confirmation prior to the course
• Cancellations must be received by August 15 , 2022 in order to receive refund .
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