New Jersey State Association of Chiefs of Police 105 th Annual Training Conference June 26- June 29, 2017 Resorts Casino Hotel & The Atlantic City Convention Center BREAKFAST / SEMINAR REGISTRATION FORM
This form to be used for personnel attending the Breakfasts & Seminars only. $ 50 per person per day
Agency ___________________________________________________________________________________________________
Address __________________________________________________________________________________________________ City, State, Zip ______________________________________________________________________________________________
Tuesday, June 27, 2017 Breakfast & Seminar“ Ferguson, Missouri: Providing Effective Leadership in a Crisis Situation” Presented by: Chief Jon Belmar, St. Louis County Police Dept.
Breakfast: 7:45am- 9:00am Seminar: 9:00am- 12:00pm
Attendee( s)- List by Title & Name: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Wednesday, June 28, 2017 Breakfast & Seminar“ Sustaining Motivation By Being A Transformational Leader” Presented by: Michael Bret Hood, SA, FBI( Ret.), 21 st Century Learning & Consulting, LLC
Breakfast: 7:45am- 9:00am Seminar: 9:00am – 12:00pm
Attendee( s)- List by Title / Name: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TOTAL # of attendees for both days __________ @$ 50 each- $_____________
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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