North Central HIDTA

FOR OFFICIAL LAW ENFORCEMENT USE ONLY
Register to receive North Central HIDTA Training Alerts
No partial registrations or personal email addresses accepted.
All registration information will remain strictly confidential

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First Name *

Last Name *

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HIDTA TASKFORCE MEMBER
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IDENTIFYING INFORMATION
Sworn Law Enforcement Officer
Crime / Intelligence Analyst 
Other
(please provide details)

 

 

       AGENCY / ORGANIZATION
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AGENCY ADDRESS
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State (ie: WI) *
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CONTACT INFORMATION
(for registration purposes only)
Phone Work (include area code) *

Mobile Phone (include area code)

Fax (include area code)

E-mail *


SUPERVISOR INFORMATION
(for Law Enforcement Status Verification)
Full Name

Phone Work (include area code)

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 Credentials always required at event registration