Use This Form To Pay For Spouses, Guests or Breakouts with Non-Department Funds
2019 FBINAA Fall Re-Trainer (Additional Registration)
Tuesday, September 3 - Friday, September 6, 2019
Location: Tan-Tar-A Resort
Directions: 494 Tan Tar A Drive, Osage Beach, MO 65065

The FBI National Academy Fall Re-trainer for 2019 will be held at Tan-Tar-A Resort, September 3rd though the 6th. This is a coordinated event with the Eastern Missouri Chapter but this online registration is exclusive to the Kansas/Western Missouri Chapter.

**Business attire is required for the banquet on Thursday evening.

FBINAA MEMBER NAME  * required
First Name *

Last Name *

Position/Title/Rank *

FBINAA MEMBER CONTACT INFORMATION
E-mail: *

Office Phone: *

Cell Phone: *


 

FBINAA MEMBER AGENCY / ORGANIZATION
Agency/Organization Name: * (N/A if retired)


FBINAA AGENCY ADDRESS
(if retired enter home address)
Address 1:*

Address 2:

City: *

State:* 
  Zip code:*
FBINAA Session #: *

SPOUSE/GUEST EVENT REGISTRATION
Spouse / Guest Name: ($85)

Event Registration Sub Total:

 WEDNESDAY 4/24/2019 ACTIVITY REGISTRATION


On Wednesday, attendees may choose to attend the Golf Scramble or the Firearms Shoot for an additional fee.  The activities run concurrently, so please ONLY SELECT ONE if interested in attending.

 I do not wish to attend an extra event on Wednesday

- OR -

 Golf ($75 per person)
Be ready to "tee off" NO LATER than 12:30 p.m. at The Oaks Golf Course, 1524 State Road KK, Osage Beach, MO.  If you wish to take part in the golf scramble, please fill out the following field(s).  This is a four man scramble - you play the best ball.  Spouses and guests are also welcome to play.  Should you have any questions, please contact Dave Burlew at 785-368-8438.

Enter the golfer's name that is being paid on this registration.
1. *
Please indicate your preferred playing partners in the following fields.
2. 
3. 
4. 

- OR -

 Firearms Shoot ($20)
Firearms Shoot is scheduled to be held at the Camden County Sheriff's Department Firing Range.  If you have any questions regarding the Firearms Shoot, please contact Jeff Herrman at 785-248-6032.


 ADDITIONAL ACTIVITY REGISTRATION

Please indicate all additional activities you wish to attend.  There is no additional charge for the Barbecue, Luncheon, or Banquet.
Tuesday Barbecue
 Thursday Luncheon
 Thursday Banquet

PAYMENT OPTIONS ( from TOTAL REGISTRATION Line)
Total Amount Due: $



If you have any issues submitting the form email sectreaskswmo@gmail.com

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2020)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-character country code)