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Kick Off Conference Registration- November 2nd 2019
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Please select your attendance option *
The Awards & Recognition Dinner is included for all conference attendees. If you would like to bring a guest the cost is $35.00 and is due at the door. Please select if you will be bringing a guest to the Awards Dinner
If you are a sworn member please let us know whether or not you are active.
Agency *
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Rank
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Region you reside in
Do you have any dietary restrictions?
Your answer
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