EDI Regis

Utah Chiefs of Police Association
ANNUAL CONFERENCE REGISTRATION

in .pdf format
you can print the form,
fill it out by hand,
and mail in.

COMPLETE THIS FORM, PRINT THIS PAGE, & MAIL IN IF YOU LEAVE THIS PAGE BEFORE PRINTING, YOU WILL LOSE YOUR DATA
UTAH CHIEF'S OF POLICE ANNUAL CONFERENCE March 23 - 26, 2009 St. George, Utah
REGISTRATION FORM
Name:
Rank:
Agency:
Address:
City:	State:	Zip:
Phone		Fax:
E-mail:
Conference Registration: $100.00 I will be bringing a guest to the Luncheon on Tuesday . . . . Yes No I will be bringing a guest to the Banquet on Wednesday . . . Yes No Golf Tourney Registration: $ 65.00 per person. Playing: Yes No If yes, how many will be playing golf:
Total Payment:		$
Utah Chiefs of Police Association Send to: Chief Kim Hawkes North Park Police Department 2005 North 1200 East North Logan, UT 84341