2025 NJSACOP WINTER CONFERENCE ATTENDEE REGISTRATION FORM
LAW ENFORCEMENT ATTENDEE INFORMATION
Name:
Rank:
Department: Address: E-mail EDUCATIONAL PROFESSIONALS ATTENDEE INFORMATION
Name:___________________________________________________ Title: ____________________________________
School: ___________________________________________________________________________________________
Address: ____________________________________________________________________________________________
E-mail: _____________________________________________________________________________________________ Signature of Police Chief: _________________________________________________________________________________
PAYMENT INFORMATION Payment Method:
CHECK Purchase Order
( Made payable to NJSACOP, 751 Route 73 North, Suite 12, Marlton, NJ 08053)
CREDIT CARD: Visa MC AMEX
REGISTRATION FEE: $ 265.00
( Includes: breakfast, lunch, coffee breaks, presentations and entrance to vendor show)
Credit Card Number: Exp. Date: CVV( 3 or 4 digit code): Signature: Billing Address( if different from above):
RETURN COMPLETED FORMS VIA EMAIL TO: registrations @ njsacop. org NJSACOP ● 751 Route 73 North ● Suite 12 ● Marlton, NJ 08053 Web: www 11. njsacop. org