2021 Mid-Winter Training Conference & Exposition

January 9-12, 2021 Rosen Plaza Hotel
9700 International Drive
Orlando, Florida 32819
Date*
Date Format: MM slash DD slash YYYY
Title/Rank*
Please provide Title/Rank as you would like it to appear on badge.
Name*
First Last
Please provide name as you would like it to appear on the badge.
Agency*
Office Phone*
Cell Phone*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Will you be attending the Monday Meet & Greet?*
Will you be attending the Tuesday Awards Luncheon?*
Registration Type*
- Chief Executive/Initial Registrant - Member $300
- Additional Command Staff (from the same agency) - Member $250
- Chief Executive/Initial Registrant - Non Member - $400
- Additional Command Staff (from the same agency) - Non Member $400
- Spouse - $100
Spouse/Guest Name (if you are registering your spouse)
Please provide name as you would like it to appear on the badge.
Will your spouse/guest be attending the Monday Meet & Greet?*
Will your spouse/guest be attending the Tuesday Awards Luncheon?*
When you hit submit you will be taken to page where you may submit payment via credit card. When entering the credit card information, please add your email address to receive your payment receipt. If you require an invoice please indicate below.
Please send me an invoice.*
- Yes
- No