Police Officers' Association of Nebraska
A contributing member of the Law Enforcement Community since 1953.

Police Officers' Association of Nebraska

Conference Registration

Click here to view 2009 NSA/POAN conference vendor exhibit information.

*2009 POAN members were mailed this form. If you are interested in attending, you may also print this form by selecting landscape as the page orientation. If you would like a form emailed to you, please email nepoan@aol.com to request a 2009 Conference Registration form.

NSA/POAN Conference

Advance Registration Form

October 4 ~ 7, 2009

Holiday Inn Convention Center ~ Kearney , Nebraska

Reservations: 308-237-5971

Name of Registrant:__________________________________

Title:_________________________

Agency:___________________________________ Phone:________________________________

Address: _____________________________ City :______________________ZIP:______________

Name of Guest or Spouse (if attending the guest program):__________________________

	Advance Registration Fee	Cost	TOTAL
A	NSA/POAN Member	$ 90	$ _______
B	NSA/POAN Member & Guest/Spouse *	$130	$ _______


	Registration Fee received after Sept. 15
C	Late Registrant	$100	$ _______
D	Late Registrant & Guest/Spouse *	$140	$ _______

E	Additional Banquet Tickets No. of Tickets_________ (in addition to those included above)	$30 ea.	$ _______
	TOTAL ENCLOSED		$ _______

*Includes Guest/Spouse Program and Banquet

The Guest/Spouse Program this year includes a local winery trip, with lunch; and a craft project

Is your spouse/Guest planning to attend the Guest/Spouse Program? Y N (Circle one)

Please send registration/fees to:

NSA/POAN Conference
P.O. Box 81822
Lincoln , NE 68501

NO REFUNDS AFTER SEPTEMBER 15, 2009 FOR ANY CANCELS

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The 2010 NSA/POAN Conference will be
October 3 - 6, 2010 in Kearney, NE.