Conference Registration | Illinois Juvenile Officers Association

First Name

Last Name

Agency/Organization Name

Title

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone

Confirm Email

Check if you are planning on attending Wednesday Night

Email of person to be invoice Conference fee via Paypal

Please confirm invoicing email

This person will be sent an invoice via Payal for the Conference fee

I understand and agree to pay the invoiced conference fee

The conference fee is $225 for one officer and $200 for additional officers from the same department