NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE Police Executive Institute – 23 rd Session Monday , 12 May 2025 — Friday , 16 May 2025 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 registrations @ njsacop . org
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 Credit Card #: _____________________________________ Expiration Date : _________________ CC Security Code : _____________ Billing Address : ___________________________________________________________________ City / State / Zip : ____________________________________________________________________
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• Deadline for Registration : April 19 , 2025 [ space permitting ]
• Registration Fee : $ 975 – Please make checks payable to NJSACOP
• The 2025 NJSACOP Police Executive Institute will be held at : National Conference Center & Holiday Inn , 399 Monmouth Street , East Windsor , NJ
• Registrants will receive a confirmation prior to the course
• Please duplicate this Registration Form for each registrant
• Registrations must be paid in advance by check or purchase order
• Cancellations must be received by April 01 , 2025 in order to receive refund .
________________________________________ Signature
____________________ Date
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