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Officers Name ________________________________ Agency Name ___________________________
Email Address _____________________________ Important! Confirmations will be sent by Email
Address ___________________________________________________________
City _______________________________ State_______ ZIP/Postal Code ____________
Work Ph# ____________________ Home/Cel Ph# ____________________
Which Venue will you be attending?
q Tactical Patrol Dog Program - $550.00 per team (officer with dog) or $350.00 for officers without dogs
q Canine Commanders Course - $450.00 per attendee
q Patrol Officers Deploying with K9 Program - $350.00 per attendee
Payment Enclosed as follows:
q Check Enclosed q Mastercard q Visa
Credit Card #____________________________________ Expiry Date __________
Cardholder Name ________________________________ Cardholder Signature ____________________
Click here for a list of recommended equipment to bring for this conference
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