CORE PLUS Registration

CORE PLUS REGISTRATION

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Registration: Member - $250 Non Member - $300
Cancellations made within 2 week of the training will be charged a $100 administrative fee.

Today's Date*

Title*

Name*

First Last

Agency*

Cell Phone*

Office Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Registration Type*

Chief/Supervisor is a Member - $250

Chief/Supervisor is NOT a Member - $300

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.*

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