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New Jersey State Association of Chiefs of Police 109 th Annual Training Conference August 23 – August 26 , 2021 Hard Rock Casino Hotel & Atlantic City Convention Center REGISTRATION FORM
Registrations fees – |
Active Chief-NJSACOP member - $ 385 |
Associate-NJSACOP member - $ 385 |
|
Non-member of NJSACOP - $ 405 |
Retired Chief-NJSACOP member - $ 200 |
|
Spouse / Companion of Active , Associate , Non-Member - $ 210 |
Spouse / Companion of Retired member - $ 150 |
Above registration fees include admission to Host Chiefs Night-Breakfasts-Seminars-Special Spouse Event-Installation Banquet |
Attendee information : Title & Name _________________________________________________________________________________ Agency _____________________________________________________________________________________ Address _____________________________________________________________________________________ City , State , Zip ______________________________________________
County ___________________________
Email ( required for confirmation ) ____________________________________________________________________ ========================================================================================== Spouse / Companion information if registering in full as above :
Name ____________________________________________________ Email ____________________________ ========================================================================================== Child ( ren ) – 18 & under – no fee required :
Name ( s ) ______________________________________________________________________________________ ===========================================================================================
Fee Totals : Attendee
Spouse / Companion
$___________ $___________
TOTAL $___________ P . O .#__________; Check #_______; CC -Visa , MC , Amex accepted-see below
To check on / use your 2020 fees , please check here ____ ( confirmation will be sent if fees have been previously paid ) Make P . O ./ check payable to : New Jersey State Association of Chiefs of Police Send registration form with payment information to : 751 Route 73 North , Suite 12 – Marlton NJ 08053 Fax : 856 / 334-8947 ; email : mjgaines @ njsacop . org
Credit card info-CC # ___________________________________________ Exp date _____/______ Security Code ________ Address of CC holder _________________________________________________________________________________ Amount to be charged $_________________
Use the Breakfast / Seminar Registration Form for additional personnel for Tuesday & Wednesday ; Additional tickets can be ordered for Host Chiefs Night and the Annual Installation Banquet upon request .
Your fees are not tax deductible as a charitable contribution .