Training Conference Online Registration Form

RECORDS MANAGEMENT WORKSHOP

All required information is marked in BOLD.

To register, please provide the following information:

Contact Information:

Name

Title

Representing

Street Address

Address (cont.)

City

State

Zip/Postal Code

Contact Phone

E-mail

Choose One:

Records Management Workshop - South Lake Tahoe $125

Post Executive Devolpment Workshop Free

Billing Information:

Card Type

Name on Card

Credit Card #

Exp.

of

Check #

PO #

Bill Me

Comments:

"Serving Higher Education Law Enforcement Since 1982"