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Conference Registration Form
May 30 - June 1, 2018
in
Jacksonville
,
Florida
asterisks indicate required information
Attendee Information
Salutation:
Select One
Asst. Chief
Asst. Director
Capt.
Chief
Col.
Commander
Commissioner
Cpl.
Deputy
Dep. Chief
Dep. Commissioner
Dep. Director
Director
Dr.
Hon.
Lt.
Maj.
Marshal
Miss
Mrs.
Mr.
Ms.
Officer
Rev.
Sgt.
Sheriff
Undersheriff
If Other:
First Name:
Middle Initial:
Last Name:
Age Group:
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Teen (Grades 6-12)
Adult (19 or older)
Chaperone:
(for K-12 only)
Job Title / School:
Organization:
Work Phone:
Home Phone:
Cell Phone:
Email:
Sworn Officer:
Select One
Yes
No
Attendance Type:
Select One
Adult - Full Conference Registration ($265)*
Teen - Full Conference Registration ($150)*
Presenter - Full Conference Registration ($265)*
Cosponsor - Conference Registration
Presenter Only (Not attending Conference)
Vendor - Cosponsor Registration/Other
Vendor Registration (Not including Conference Registration) ($320)*
Vendor - Attending Conference - Full Registration ($585)*
Vendor - Host Committee Registration
Host Committee - Conference Registration
Moderator - Attending Conference - Full Registration ($265)*
Moderator Only (Not Attending Conference)
OAG Staff - Conference Registration
Volunteer - Conference Registration
*Payments received after May 18, 2018, late fee of $25 will apply.
Attendee Address
Address1:
Address2:
City:
State:
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
News Brunswick
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Quebec
Rhode Island
Sakatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
County:
Select One
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
Dade
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Specify County:
Zip:
  
Plus 4:
Billing Address
Same as Attendee Address?
Yes
Address1:
Address2:
City:
State:
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
News Brunswick
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Quebec
Rhode Island
Sakatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
County:
Select One
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
Dade
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Specify County:
Zip:
  
Plus 4:
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Special Accomodations:
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