Registration Form: Best Practices – Community Policing, Special Security Tactile Teams

Sign up online if paying by credit card. Or send your check along with this completed registration form to: Joint Commission Resources, P.O. Box 75751, Chicago, IL 60675-5751.

Registration Information:

Name (Please include any professional credentials):

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Title:

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Organization Name:

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Address:

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City/State/Zip:

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Telephone Number (including area code):

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Fax Number (including area code):

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E-mail Address:

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Indicate Method of Payment:

Note: Payment in U.S. dollars must accompany completed registration form. Registration forms received without payment will not be processed until payment has been received. Prices subject to change without notice.

_____ Check, payable to Joint Commission Resources (check must accompany registration form)
_____ VISA
_____ MasterCard
_____ American Express

Registration Fee:

_____ $249 per connection

Credit Card Number:

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Cardholder's Signature:

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Cardholder's Name:

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Expiration:

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Telephone Number (including area code):

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