Page 33 - TPA Journal May - June 2018
P. 33



TEXAS POLICE ASSOCIATION
Annual Training Conference ± June 4 ± 6, 2018
Embassy Suites Denton Hotel and Convention Center
Denton, Texas 76201
Hotel Reservations ± (940) 243-3799


Name (As to appear on Name Badge):

Agency

Address

City State Zip

Contact Phone E-Mail

Pre-Registrations are full payments received on or before May 18, 2018.

REGISTRATION PRE-REGISTRATION LATE & ON SITE TOTAL
REGISTRATION
Member $150.00 $200.00

Retired Member $75.00 $125.00

Spouse/Personal Guest $50.00 $50.00

Name (As to appear on Name Badge)

Non-Member or Guest $200.00 $250.00

Name (As to appear on Name Badge)

Youth (12 & Over) $50.00 $50.00

Name (As to appear on Name Badge)

Child 6 ± 12 $25.00 $25.00
Child 6 ± Under Free
Name (As to appear on Name Badge)

th
Total Number of Adults that will attending the Banquet on Wednesday, June 6 , 2018.

TPA Membership Dues
Active $30.00
Associate $50.00


TOTAL AMOUNT DUE


Make Checks Payable and mail to: If you would like to prepay using American Express,
Texas Police Association Discover, MasterCard, or Visa, fax this completed form
P O Box 4247 to (512) 458-1799.
Austin, TX 78765-4247

American Express Discover MasterCard Visa


Name (on card):

Card Number: Exp. Date: Sec. Code

Signature: 7RGD\¶V 'DWH



Please List Special Assistance/Dietary Needs


Refunds will not be made after May 18, 2018.


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