2. First Name*

3. Last Name*

5. Email Address*

6. Phone Number*

8. Participant is the same as above

   1. Yes
10. Participant First Name

11. Participant Last Name

13. Participant Phone Number*

14. To Ensure Eligibility*
    -- Select One --Full-time Law EnforcementHonorably Retired Peace OfficerA State of Texas LicenseeOut-of-State OfficerCivilian Support Staff

    Choose One

16. TCOLE PID #*

17. Participant Email Address*

19. Agency Name*

21. Agency Address*

23. Credit Card

    Payment Method

24. Price

25. Quantity*

    How many participants attending?

26. Shipping Cost

28. Taxable

Leave This Blank:


29. Calculate Totals Proceed to Checkout

* indicates a required field