The #LESM Conference

Please fill in the information below to be invoiced.
Invoice terms are:
Full payment within 15 Days Of Receipt.
W9 Available Upon Request.
20 Days Past Submission without contact or payment, it will be assumed you are abandoning your request along with any early incentive pricing discounts.

* indicates required

Agency Email Address (Invoice Will Be E-sent) *

Law Enforcement Agency Name *

First Name *

Last Name *

Rank / TItle

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Contact Phone Number *

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Registration Type *

Patrol Package (Includes Audio Recordings)
Chief Package (Includes All Session Video Recordings)