LAW ENFORCEMENT & NEIGHBORS BUILDING
SAFE COMMUNITIES
HOSTED BY:
“LAWTON CITIZEN POLICE
ACADEMY ALUMNI”
Registration Form: Please fill out the form completely. Use a separate form for each registrant. You may photocopy this form for your convenience.
Payment: This form must be completed and returned to the address indicated below with full payment before it can be processed. Please do not send cash. Payment can be made the day of the workshop. Payment should be made out to the Lawton CPAA 2005 Workshop.
Confirmation: A confirmation of your registration will be sent to you upon receipt of your payment.
Cancellations: All cancellations must be made in writing and the monies will be returned after the workshop.
Mailing Address: After completing the Registration Form and attaching your payment, please mail to the following address.
PO Box 2863
Questions: If you have any questions please feel free to e-mail Margaret Averre @
Maggie1705@aol.com, Please include CPAA Workshop in subject line.
NAME: _____________________________________________
TITLE: _____________________________________________
AGENCY OR ORGANIZATION: ______________________________________
MAILING ADDRESS: ______________________________________________
CITY: ________________________ STATE: ___________________ ZIP _________
PHONE: ___________________ FAX: __________________
E-MAIL - __________________________________________
Convention shirt $15.00 each ____________
(CIRCLE ONE) S M L XL XXL XXXL
Convention Hat $ 8.50 ____________
REGISTRATION FEE: $25.00
Includes, lunches Friday afternoon and Saturday