Print This Form and Return.
"NO SCARS"
ARREST, CONTROL, & SELF-DEFENSE SYSTEM
April 10th & 11th, 2000
Registration Form
Name____________________________Address_________________________________
City / State / Zip___________________________________________________________
Home Phone___________________________ Work Phone_________________________
Agency __________________________________________________________________
Agency Address ___________________________________________________________
City / State / Zip___________________________________________________________
Name as you want it to Appear on your Certificate _________________________________
No Fee Requiered for Licensed Police Officers
Return Form and Fees to:
Concho Valley Regional Law Enforcement Academy
c/o Jim Koca C.V.R.L.E. Director
5002 Knickerbocker Rd.
San Angelo, TX. 76905
You may Fax Registration Form to (915) 944-9925
PO numbers accepted.