International Association of Undercover Officers
Mail Form and Payment To: 
International Association of Undercover Officers (IAUO)
142 Banks Dr
Brunswick, GA  31523

Or Fax To:   800-876-5912 or 912-525-3053

ADVANCED STREET LEVEL NARCOTICS & VICE OPERATIONS
Registration Form
Las Vegas, NV      October 27- 31, 2008
Please print and complete this form.

If you prefer to complete the form in Word document, click here.


Name:

________________________________________

Title:

________________________________________________

Agency:

___________________________________

Unit:

__________________________________________
Agency Address:
_______________________________________

City:

_________________

State: ______

Country:

_______________________________________
Zip Code:
_________________

 

Work Phone:

( _______ ) _____________________________

Cellular:

( ______ )________________________________________

Fax Number:


( ______ ) __________________________


E-Mail:


___________________________________________

Payment Method:

Purchase Order #: ____________

($525.00) Tuition (Attach copy of P.O.)
Credit Card ($475.00)
(   )  Visa
(   )  MasterCard Number:


#:  ____________________________________


Expiration:


______________

Signature:

_________________________________________________
     


(   )  Check ($475.00)       (   )  Money Order Enclosed ($475.00)       (   )  Will Pay at Registration ($475.00)  

Make all Checks, Money Orders or Purchase Orders Payable to:
International Association of Undercover Officers (IAUO)

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Copyright 2004, International Association of Undercover Officers, Inc.   All rights reserved