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Future Chiefs Seminar Registration

This course is designed for up and coming or future Chiefs.  Early Registration fee for FPCA Members - $475 if registered by August 19, 2010 and $500 thereafter. Non-member early registration - $525 and $575 thereafter.   Please print/type name exactly as you would like your badge to read. Remember the class size is limited, so register today.

Name:
Rank/Title:
Department/Agency:
Address:
City/State/Zip:
Email:
Telephone   Fax Number 

PAYMENT INFORMATION:


Registration Fee:
Payment Type:
Purchase Order #:
Credit Card#:
Expiration Date (mm/yy):
Name on Credit Card:

Hotel accommodations will be handled directly by the Saddlebrook Resort & Spa, which is conveniently located at 5700 Saddlebrook Way, Wesley Chapel, Florida 33543. For reservations please call the hotel directly at (800) 729-8383 or (813) 973-1111. Please mention that you are with the Florida Police Chiefs Association and attending the Seminar. You must call by August 19, 2010, to guarantee your special room rate of $99 per night. Click Here for Driving Directions from Yahoo Maps.

Please submit your completed form below, or print and mail to: FPCA, "Future Chiefs" Registration, P.O. Box 14038, Tallahassee, FL 32317-4038, or FAX it to 850-219-3640. Registration fees will be refunded with written notification if received by August 19, 2010. A $100 cancellation fee will be deducted from the refund. After August 19, 2010, registration fees are not refundable and purchase orders will be invoiced.