Company: 
Representative Attending: 
Address: 
City:  State:  Zip: 
Phone:  Fax: 
Email: 

This will include electricity and 2 Lunch banquets; additional banquets are 30.00 each. Vendon Fee is $150 per person

Please mail check, made payable to NCACLEA, to:

Chief Mike Penry, NCACLEA - Treasurer
Wake Technical Campus Police
9101 Fayetteville Road
Raleigh, NC 27603

Credit Card payments can be made by calling Chief Penry at 919-866-5532
NCACLEA Tax ID Number: 56-1152399

For questions, call John Reaves @ 336.409.6133 or email Johnreaves@triad.rr.com