Regional Training Conference Registration Form
March 5 - 7, 2003
Las Vegas Metro Police Department
Las Vegas, Nevada
I do
do not
want to participate in the Advanced Rifle Class on 3/5/03
First Name:
M.I.
Last Name:
Suffix
(Jr., Sr., III, etc.)
Organization:
Department:
Work Address:
City:
Province/State:
Postal Code:
Country:
Work Phone:
Home Phone:
Work Fax:
Toll Free #:
E-mail Address :
Home Address:
City:
Province/State:
Postal Code:
Country:
Preferred Mailing Address (please check one):
Work
Home
Comments:(enter purchase order # here)
Invoice for:
$150.00
I am a current member -or- $200.00
I am not currently a member
By submitting this form you are giving authorization for us to invoice your department/agency for this Conference/Membership.
You will receive confirmation of conference registration.