ADVANCED UNDERCOVER TECHNIQUES AND SURVIVAL
Registration Form
  Las Vegas, NV      October 27 - 30, 2008
      Please print and complete this form.

If you prefer to complete the form in Word Document format, please click here.

Mail Form and Payment To: 
International Association of Undercover Officers (IAUO)
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 Tuition)

G Check G Money Order for $475 enclosed.

G Will Pay At Registration ($475)

G Visa/MasterCard ($475) #________________________ Exp. _________

Make all Checks, Money Orders or Purchase Orders Payable to:
International Association of Undercover Officers (IAUO)

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