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Registration Form

Course you are Registering for:
Basic Police Cyclist Training
June 5-8, 2017
Ann Arbor, MI
FEE: $499.00


Last Name
First Name
M.I.

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State
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Email
Phone
Age
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Method of Planned Payment		 Download PDF (Fill Out, Bring it With You)
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This registration form authorizes LouKa LLC to submit a bill for payment, for all specified fees related to the training for the participant listed above.

Please complete this registration and mail payment form to:

LouKa Tactical Training
804 Lexington Cross Dr.
Las Vegas, NV 89144
or e-mail PO# to:
louann@loukatactical.com

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(You will recieve a copy of this form via email.)

Cancellation Policy
Agency cancellations must take place 15 days prior to class start date. Departments will remain responsible for payment if not completed before this deadline. LouKa LLC reserves the right to cancel classes in the event of insufficient enrollment. If this class cancels, you will be notified prior to the class start date. All fees will be reimbursed.

© 2018 LouKa Tactical Training LLC