NCWP Tenth Annual Training
Conference
VENDOR/EXHIBITOR PAYMENT FORM
(If registered online,
Right Click
to PRINT this form to make payment
by check through the mail, or to pay
by credit card through the mail or
through fax.)
Exhibitor
Booth $500 ______
Police Agency Recruiting Booth $250___
If not
registered online, use THE EXHIBITOR FORM
to register and pay, or use the POLICE RECRUITER
FORM to register and pay.
Name: _____________________________
Company: __________________________
Address: ___________________________
Address: ___________________________
City: ___________ State: ____ Zip: _____
Phone: ____________________________
Fax: ______________________________
Credit Card:
___VISA ___MasterCard ___American
Express
3 or 4-Digit Reference Number: ________
Card Number: _______________________
Expiration Date: ____________
___________________________________________
Card Holder’s Name (Please print)
____________________________________________
Signature of Card Holder
Mail or Fax to:
Maquire White
NCWP 2005 Conference
PO Box 1480
Edgewater, MD 21037-7480
E-Mail: mwhite@timeandconvenience.com
Telephone: 410-451-0002 ext.202
Facsimile: (410)-451-7373
***********************
List Names below for whom
payment is being made.