Ex-Con - Law Enforcement EXplorer CONference Registration

2011***EX-CON*** 2011
June 11th
Registration Form

Agency	Post #

Advisor Name	Phone #

Street Address	City


State	Zip


E-Mail

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Registration Fees : Advisors & Explorers - $85.00

*** T-shirts, Lunch, and Gift bags for registered Explorers and Advisors only

Number of Explorers	Number of Advisors

Shirt Sizes:
Small: Qty Medium: Qty Large: Qty

X-Large Qty: XX-Large: Qty

Submarine sandwiches will be provided for each registered competitor/advisor. Each person is allotted a 12 OR 6 inch sub of either turkey, roast beef OR ham, and condiments will be on the side. Potato chips are also provided. To prevent food from being wasted, please advise the number of 12 inch and/or 6inch subs desired, with what type of meat.

Qty 6” Turkey Qty 6” Roast Beef________ Qty 6” Ham_________ Qty 12” Turkey________Qty 12” Roast Beef________ Qty 12” Ham_________

*** Make checks payable to EX-CON Conference

Ex-Con
Po Box 33747
Las Vegas, Nevada 89133-3747
(702) 300-5585

Ex-Con Inc a non-profit corporation