Seminar Registration

Please complete the registration form below

*Enter the number of attendees you are registering to calculate your total fee

2-Day Program:	Officers @ $215 each =	$
Spouses:	Spouses @ $75 each =	$
Total amount you will be charged:		$

Pay By Credit Card

How do you wish to pay for registration? *

	Pay by credit card
	Pay by check or other method (Please contact us at 800-323-0037 for information)

First Name (as it appears on the credit card):

Middle Inital

Last Name (as it appears on the credit card):

Card Type

Card Number

Expires:

Personal Card

Department Card

*:Required Field

Discount Code:

Your Name *

E-Mail Address *

Phone Numbers:

Please do not enter any spaces or characters within the phone number fields

Home *

- -

Dept *

- -

Spouse(if attending):

Address *	Home
	Dept

State/Province *

City *

Zip/Postal Code

Country *

Rank *

Agency

Badge #:

Or, not Applicable

Send me

flyers for fellow officers

Have you attended one of
our Street Survival
seminars?

Yes

Number of Seminars Attended:

Attendees:

Please use this space to list all of the attendees you are registering

Notes:

Cancellation Policy: Written notification of cancellation is required within 30 days or more before the date of the seminar. Acceptable transmission methods include fax, email or surface delivery mail. Refunds will be issued following receipt of written notification less a $15.00 processing fee. No shows or failure to submit written notification will result in forfeiture of registration fees. Cancellations less than 30 days prior to a seminar will not be accepted except in serious situations which, subject to evaluation by Calibre Press management, include death or serious illness in the immediate family, a court appearance, a major departmental emergency or a call-up to military duty. A $25 fee will be levied on checks returned for non-sufficient funds. Refunds may take 4 – 6 weeks for checks and credit card payments over 120 days old.