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Mail this form with check or
money order to: If paying with a credit card or PayPal click here >> For more information or registration, please contact Tim Lewis at 951-695-7540 or email Tlewis@lciservices.com Please complete the entire form to assist us with registration, attendance evaluations, and so we can contact you in the event of changes. Please COMPLETE THE ENTIRE FORM (print or type)
Name:__________________________________________ Agency address:_______________________________________________________ Task force assignment [ ] yes [ ] no task force_______________________ CITY:____________________________ STATE:_________ ZIP CODE:______________ E-MAIL ADDRESS:________________________________________________________ YEARS OF EMPLOYMENT WITH AGENCY:________ DIRECT PHONE:_______________ PAYMENT Fee: [ ] $395.00 / LATE FEE [ ] $435.00 after 8/15/08 enclosed : [ ] check [ ] money order [ ] cashiers check
Important refund notice IMPORTANT: BRING IDENTIFICATION WITH YOU TO BE CHECKED AT THE DOOR. NO ONE OTHER THAN LAW ENFORCEMENT, prosecutors or INSURANCE S.I.U. ASSIGNED TO VEHICLE THEFT UNITS/TASK FORCES WILL BE ALLOWED INSIDE TRAINING ROOM. CANCELLATIONS REQUESTED THREE WEEKS PRIOR TO THE EVENT, THE AMOUNT WILL BE REFUNDED, LESS A $175.00 DOLLAR service and processing fee. NO REFUNDS THEREAFTER. LCI SERVICES THANKS YOU FOR YOUR INTEREST IN THIS TRAINING COURSE.
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