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Next, please enter the information below as completely as possible.
First Name
Last Name
Title or Rank
Full Agency Name

( i.e. Los Angeles Police Department )
Address 1
Address 2
City
State or Province
Zip or Postal Code
Country
Email

Each attendee's confirmation will be emailed to the address given.

Phone
Fax
Cell or Other
Purchase Order
Email of Person Placing Order:
Email of person entering this order (if differnt than the Attendee address given).
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