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 |
L. E. Associate [ |
] $ 365 |
P. S. Affiliate [ |
] $ 365 |
Non-Member [ |
] $ 385 |
Retired [ |
] $ 185 |
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 |
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Fee Totals: |
Attendee fee- |
$____________ |
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.
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