2008 REGISTRATION (Automated)
 
Please complete the following form to register for the Conference Package

Individual Information
(fill in boxes for each section below. All mandatory except the Purchase Order # Box)
Fulll Name:
Team Name:
Agency Address:
City:
State:
Zip:
Agency Phone:
Student Contact Phone:
Emergency Contact Name:
Emergency Contact Number:
Student Email:
WSTOA Member:
Purchase Order #

Training Trac Selection
August 20th
Session 1:
Session 2:
August 21st
Session 1:
Session 2:
August 22nd
Incident Debriefs:



Payment Information
Payment must be received within 30 days of submission of the registration. WSTOA is accepting payments by check or money order made out to WSTOA. Please send payment to:
          Richland Police Department
          C/O Cpl Wayne DuBois
          871 George Washington Way
          Richland, WA 99352
design by chpwd.com