Get the free PLEASE PRINT OR TYPE & CHECK ALL APPROPRIATE BOXES - blackpolice

2015 CONFERENCE REGISTRATION PLEASE PRINT OR TYPE & CHECK ALL APPROPRIATE BOXES FIRST TIME ATTENDEE FIRST NAME CENTURY CLUB MEMBER M.I. LAST NAME STREET ADDRESS CITY STATE ZIP DAY PHONE EVENING PHONE

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How to fill out please print or type

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6. Use black or blue ink if you are writing by hand.
7. If typing, use a standard font and font size that is easy to read.
8. Take your time and double-check your answers for accuracy and completeness.
9. Sign and date the completed form if required.
10. Submit the form as instructed, either by mail or in person.
11. Keep a copy of the filled out form for your records.

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1. Please print or type is needed by individuals who are required to provide written information.
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