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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 |