HEAT Registration Form

Help Eliminate Auto Theft
Basic Auto Theft Investigation School
August 25-27, 2009
Norfolk Police Training Academy
2500 N. Military Highway
Norfolk, Virginia 23502

REGISTRATION FORM
Please complete the registration form below.

Last day to Register: August 14, 2009
Walk-ins will not be admitted to the class.
Registrations are limited to four attendees per agency.

AGENCY:
Agency Head:
Mailing Address:
City:
State:
Zip:
Phone:
Fax:
STUDENTS
Title:
Last Name:
First Name:
Middle Initial:
VSP Code: (Virginia State Police students Only)
Mailing Address:
City:
State:
Zip:
Office Phone:
Fax:
Email:*

Gender:	MaleFemale
Briefly describe your law enforcement career assignments:
Number of years of auto theft investigation experience:
Confirmation letters will be mailed shortly after the close of registration. Please call Daniel J. Harrington at 804.674.2793 for additional information. Changes in registration must be emailed to Daniel.Harrington@vsp.virginia.gov by August 18, 2009.


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