Narcotic Enforcement Officers' Association of Connecticut School Registration

Narcotic Enforcement Officers' Association of Connecticut
with
New England State Police Information Network
presents
47th Annual Regional Criminal Investigation School
Narcotic Enforcement Officers' Association of CT
Phoenix Park, Suite 10, 29 North Plains Highway
Wallingford, CT 06492
Phone: 203-269-8940
Fax: 203-284-9103
www.neoa.org
School Registration
School Dates: Tuesday, November 4, 2014 to
Friday, November 7, 2014
School Location: Hyatt Regency Hotel, Newport, RI
Attendee Information (include Rank){One attendee Per Form}
Name:
Registration Fees
Conference Fee:
Rank:
x Number of Attendees:
Agency:
Subtotal:
Address:
Total Due:
City/State:
If Daily, Indicate Day
Zip/Postal Code:
Country:
Payment
E-mail
Check :
Phone:
Credit Card
Community Service Hours
MasterCard
Cell Phone:
Visa
Card Number:
CCV (Credit Card
Verification No.)
Exp/Date:
Cardholder Name:
This School is Connecticut POST Certified
Early Registration on Tuesday, November 4th
Classes begin at 8:30 AM Wednesday, November 5th
Signature as appears on Card:
Purchase Order No:
Mail, Fax or E-mail your application with purchase order, check or credit card payment of $300.00
to: NESPIN, 124 Grove St., Suite 105, Franklin, MA 02038-3159.
Contact Person: Donna Sekula @ (800) 343-5682, Ex.. 200 or Fax: (508) 528-5184.
or e-mail completed form to: dsekula@nespin.riss.net
**PLEASE MAKE CHECKS AND PURCHASE ORDERS PAYABLE TO “N.E.O.A.”**
No refunds for any cancellations after October 17, 2014.
$300.00 per attendee includes NEOA membership, complete program, meal plan and parking.
Wednesday or Thursday daily registration rate $150.00 per day. Friday registration rate $80.00.
METHOD OF PAYMENT: AGENCY P.O.# PERSONAL COMMUNITY SERVICE & Credit Card Payment Accepted (above)
All room reservations shall be made with the Hyatt Hotel reservations desk at the special school rate of $119.00 per room a night (single
or double occupancy). The Hyatt Hotel has extended this special advance rate to school attendees for the weekends before and after our school.
Make your reservations in advance to avoid paying higher rates.
The $119.00 room rate will be available until October 17, 2014.
After October 17, 2014, the Hyatt Regency Hotel, reserves the right to charge the prevailing room rate.
Each attendee or agency is responsible for room reservations at the Hyatt Regency Hotel.
Newport Hyatt Hotel, 1 Goat Island, Newport, RI 02840
Phone (401) 851-1234.