REGISTRATION FORM



NAME:___________________________________________________________

ADDRESS:________________________________________________________

CITY/STATE/ZIP:__________________________________________________

PHONE/FAX:______________________________________________________

E-MAIL:__________________________________________________________

ORGANIZATION:______________________________________________________

NAME OF YOUR COMMUNITY POLICING OFFICER: _________________________

CHOOSE ONE WORKSHOP FOR THE MORNING BREAKOUT SESSION:

  • TRAFFIC
  • PROPERTY CRIMES
  • ANIMAL CONTROL
WOULD YOU LIKE TO HAVE AN EXHIBIT? IF SO, WHAT:

___________________________________________________________

IS THERE SOMETHING THAT YOU WOULD LIKE TO SEE ADDRESSED?

___________________________________________________________

___________________________________________________________

  • I WILL ATTEND ON May 17, 2003 (attendance is limited to 200 entries)
  • ENCLOSED IS $25.00 (to offset the cost of room rental/lunch/morning and afternoon refreshments - remaining costs subsidized by Atherton Family Foundation)
MAKE CHECK PAYABLE     
AND MAIL TO:
SOLUTIONS 2003
73-1403 KAIKA PLACE
KAILUA-KONA, HI 96740


Contact: Lilian Beaufrere- Phone/fax: 808-325-0039 - konalil@hawaii.rr.com


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