Florida Sheriffs Association



Training Registration FormName:Click or tap here to enter text.Rank/Title:Click or tap here to enter text.Date:Click or tap here to enter text.Agency:Click or tap here to enter text.Phone Number:Click or tap here to enter text.Email:Click or tap here to enter text.Training Class:? Police Training Officer Basic - $500 ? November 6 – 10, 2017 ? February 5 – 9, 2017? PTO Train-the-Trainer* -$500 ? February 12 – 16, 2017*Must attend the Basic course before you can attend the Train-the-TrainerTraining Location:25500 Airport RoadPunta Gorda, FL 33950Training Contact:Cpl. Schaefer / Jillian Reichcschaefer@jreich@Phone: 941-833-6277Please submit this completed registration form to:Email: jreich@ Fax: 941-833-6279Mail: Charlotte County Sheriff’s Office Attn: Jillian Reich – Training Dept. 7474 Utilities Road Punta Gorda, FL 33982If you do not receive a confirmation receipt, please contact Jillian Reich at 941-833-6277.(Detach the below voucher and send in with your payment)Please submit your payment and this payment voucher to:Mail: Charlotte County Sheriff’s Office Attn: Gio Orbe – Finance Dept. 7474 Utilities Road Punta Gorda, FL 33982Payment Contact Information: Gio Orbe HYPERLINK "mailto:gorbe@" gorbe@ / 941-575-5207Payment for Training Class:? Police Training Officer - $500 ? November 6 – 10, 2017 ? February 5 – 9, 2017? PTO Train-the-Trainer -$500 ? February 12 – 16, 2017Officer attending Training:Click or tap here to enter text.Contact Information for Officer Attending Training: Click or tap here to enter text.Total Amount Enclosed:Click or tap here to enter text.Check #: Click or tap here to enter text. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download