Registration

Use the form below if paying by check or money order
Then mail or fax this form to the address/fax # below.
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Association Name: _______________________________________________________  

Contact Person: _________________________________________________________  

Additional Attendees: _________________________________________________________  

Address: ________________________________________________________________ 

City, State, Zip:___________________________________________________________ 
 
Telephone #: ___________________ Fax #: __________________________

E-mail: ________________________________________ 

Total Attendees: _______ at $175 each

     _____ Bill my Association
     _____ Check Enclosed

Please Fax this Registration Form To: 909-985-3299  
Questions? Call us toll free: (800) 478-7643 or
Email: info@policeattorney.com