ADVANCE REGISTRATION FORM Marriott Pyramid North

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NEW MEXICO ASSOCIATION OF CHIEFS’ OF POLICE
Marriott Pyramid North – Albuquerque
May 1, 2015
ADVANCE REGISTRATION FORM Register on-line at www.nmml.org with Credit Card, P.O. or Bill Me Options. Contact jportillo@nmml.org for login information.
Early Registration By April 17th Late Registration After April 17th Registration Fee: (Includes Meeting Materials, Breaks & Luncheon)  $40  $50 NAME MUNICIPALITY/AGENCY MAILING ADDRESS TITLE Street/City/State/Zip BILLING ADDRESS Street/City/State/Zip EMAIL For registration confirmation DAYTIME PHONE For dietary restrictions or special needs: Contact Colette at (800) 432‐2036.  Vegetarian Meals Check appropriate box(es):
Payment Information: (Payable to NMML. Include member ID on check/stub.) Friday, May 1st
 I will attend Meeting Only
 I will attend Meeting & Luncheon  Check Enclosed  Purchase Order  Will bring to meeting Attach copy or PO#  Charge registration fee to:  Visa or  MasterCard listed below NMML REGISTRATION/CANCELLATION POLICY: NMML is authorized to use the card below to pay registration fee(s) in the amount of $  After April 24th you must register on‐site.  Cancellations must be received in writing by April 24th.  A $15 fee charged for all cancellations received before April 24th.  No refunds after April 24th.  No partial refunds.  Pre‐registered no shows are responsible for full registration fee.  Credit card transaction(s) processed immediately.  Receipts available upon registration check‐in.  Registration confirmations will be emailed.  This policy also applies to Spouse/Guest Registrants.  Weather related no shows will be charged $15.  By submission of this form, I agree to all registration/cancellation policies. Card # Exp. Date Card Holder Name Printed Card Holder Signature RETURN BY APRIL 24TH TO: Anita Tafoya  atafoya@nmml.org P.O. Box 846  Santa Fe, NM 87504 Phone: (800) 432‐2036  Fax #: (505) 984‐1392