OUTLAW MOTORCYCLE GANG INVESTIGATIONS
Registration Form
  Orlando, FL     March 1- 5, 2010
     
Please print and complete this form.

Mail Form and Payment To: 
TrainCops.com, Inc.
142 Banks Dr
Brunswick, GA  31523

Or Fax To:    800-876-5912 or 912-525-3053

Name(s) _________________________________ Rank _________________

Agency ________________________________________________________

Address ________________________________________________________

City State Zip ___________________________________________________

Telephone ________________________ Fax __________________________

Cellular  _______________________________

E-mail:  ________________________________________________________

Payment

Purchase Order # ____________________ ($525.00 Tuition)

(   ) Check  for $475 enclosed.

(   ) Will Pay At Registration ($475)

(   ) Visa/MasterCard/Amex ($475) #________________________________ Exp. _________

Make all Checks, Money Orders or Purchase Orders Payable to:
TrainCops.com, Inc.

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