The NJ Police Chief Magazine Volume 24, Number 3

New Jersey State Association of Chiefs of Police 106 th Annual Training Conference June 25 – June 28, 2018 Resorts Casino Hotel & The Atlantic City Convention Center REGISTRATION FORM Attendee Information: Title & Name___________________________________________________________________________________________________ Agency________________________________________________________________________________________________________ Address_______________________________________________________________________________________________________ City, State, Zip__________________________________________________________________________________________________ Email (required for Confirmation)_____________________________________________________________________________________ County__________________________________ BLAUER® POLO SHIRT SIZE _______________ Our sponsors for this are as follows: Blauer, Samzie’s Uniforms, Blackington Badges, Armor Express Body Armor Spouse/Companion Information: DO NOT REGISTER SPOUSE/COMPANION IF THEY WILL NOT ATTEND ALL EVENTS AS LISTED BELOW Name_______________________________________ Email (required for event notification)______________________________________ ADDITIONAL Banquet tickets: $135 per ticket Quantity_____ FULL registration fees include Banquet ticket; do not order if you register in FULL below. Child(ren) (18 and under--no fees apply): Name(s)_______________________________________________________________________________________________________ Member Status/Fees: Active-Chiefs only [ ] $365 Non-Member [ ] $385 L.E. Associate [ ] $365 Retired [ ] $185 P.S. Affiliate [ ] $365 Late fee [ ] $35 if registering after 6/21/18 Fees include: Host Chiefs Night, Tuesday & Wednesday Breakfasts/Seminars, Installation Banquet Spouse Status/Fees: Active, L.E. Assoc., P.S. Affiliate, Non-Member [ ] $205 Retired [ ] $140 Fees include: Host Chiefs Night, Tuesday & Wednesday Breakfasts/Seminars, Special Spouse Event(s), Installation Banquet ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Attendee fee - $____________ Fee Totals: Spouse fee - $____________ Banquet ticket(s) - $____________ Late fee - $____________ TOTAL AMOUNT DUE - $____________ Make Purchase Orders/Checks payable to: New Jersey State Association of Chiefs of Police Return registration form 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_______________________________________________________________________________________________ Hotel room reservations can be made here: https://meetatresortsac.com/vnjc18 OR CALL DIRECT: 888-797-7700 & USE CODE VNJC18 Please use the Breakfast/Seminar Registration Form to add additional personnel for Tuesday & Wednesday. Your conference fees are not tax deductible as a charitable contribution. 18

The NJ Police Chief Magazine Volume 24, Number 3 | Page 19