2010 F.I.A.I.A. Annual Training Conference
June 16 - 18, 2010
Marriott Suites Clearwater Beach on Sand Key
Registration Form (One form per attendee)
-Please Enter Information-
NAME & RANK OF ATTENDEE:

DEPARTMENT OR AGENCY NAME:

DIVISION or UNIT:

MAILING ADDRESS:

CITY:

STATE:

ZIP CODE:

TELEPHONE with AREA CODE:          
EMAIL:


EXT. if applicable
Cancellations and Refunds Policy:  All cancellations must be in writing.  (via fax or email)
Full Refund - Cancellation no later than May 15, 2010
50% Refund -Cancellation no later than May 30, 2010
No Refund -Cancellation after June 1, 2010

FIAIA Membership Dues of $30 per member must have been paid to attend the conference.

Registration fee is $150.00/per person

Please Mail a Check Payable to:    Florida Internal Affairs Investigators Association 
        P.O. Box 880283
        Port St. Lucie, FL 34988-0283

Confirmation of receipt of payment will be forwarded via email notice only to the attendee for confirmation of registration.