6
TH
ANNUAL LAW ENFORCEMENT TRAINING CONFERENCE
MAY 23 - 27, 2011
NJGIA CONFERENCE REGISTRATION & APPLICATION FORM
A separate registration / application form must be completed for each attendee registering. Please fill in all fields.
Refund policy is available on the NJGIA website. Located on the Conference Page.
Registration fee includes admission to conference, training materials, and a full continental breakfast each morning.
Conference registration from 8:00am - 12:00pm on Monday May 23, 2011. Opening Ceremonies begin at 1:00 pm.
All conference attendees will receive a free one (1) year membership to the NJGIA. This includes access to the
secure member’s only website and message board forum. Membership is issued upon completion of the conference.
All attendees will receive a NJGIA Certificate of Attendance upon completion of the conference.
Registration fee will be $200.00 per attendee. Walk in registrations will be $200.00.
RETURN COMPLETED REGISTRATION FORMS &
PAYMENTS TO:
NJGIA Annual Conference
PO Box 5515
North Branch, NJ 08876
TO REGISTER & PAY ONLINE:
Email Attendees’ Completed Registration Application to:
njgiamanagers@njgia.org.
PayPal is available on the NJGIA website
Click on Conference Page link.
FOR FURTHER CONFERENCE INQUIRIES CONTACT:
Keith Stopko, NJGIA Vice President:
Phone: 732 - 684-8645
Tax ID# 510553517
~ CONFERENCE TOPICS TO INCLUDE ~
Note: Conference Topics Subject To Change - Additional Topics Announced as Instructors Confirmed- Visit www.njgia.org Conference page for detailed agenda.
Nuestra Familia
Tri-State White Supremacy Overview
New Jersey Street/Prison Overview
MS13
New Jersey's Religious Occult
NJ Bloods / Crips
Female Gangs
Plus many more additional conference topics!
SPECIAL GUEST SPEAKERS PRESENTING ON:
~ OMG UNDERCOVER: CASE OVERVIEW
~ MEXICAN MAFIA & SURENO INFLUENCE
~ MS13 TRANSNATIONAL GTF
~ ASIAN GANGS
“THIS YEARS CONFERENCE WILL BRING A BRAND NEW LINE UP OF SPEAKERS AND TOPICS. THE MOST CURRENT NEW JERSEY GANG TRENDS
AND INTELLIGENCE WILL BE PROVIDED TO ATTENDEE’S. WE WELCOME YOU TO JOIN US AND LOOK FORWARD TO MEETING YOU. STAY SAFE.”
For additional conference information or to register online visit our website at www.njgia.org
~ CONFERENCE DIRECTIONS ~
HILTON EAST BRUNSWICK
3 Tower Center Blvd.
East Brunswick, New Jersey 08816
Phone: (732) 828-2000
(Discounted room rates are reserved for NJGIA Conference
attendees. Standard room rates at $109.00 nightly.)
From NJ Turnpike North or South: Exit 9 of NJ Turnpike through the toll
plaza, bear right towards Route 18 North and take the first right into the
complex, go straight to the traffic light. At the traffic light, make a left
onto Tower Center Boulevard -
The Hilton East Brunswick is at the end of the drive.
In Conjunction With
RESTRICTED TO SWORN LAW ENFORCEMENT, CORRECTIONAL, PAROLE, PROBATION, AND CRIMINAL JUSTICE OFFICIALS ONLY!
The New Jersey Gang Investigators Association is pleased to announce its 6tth Annual 2011 Street Gang Training Conference. This training
conference will provide the most current and reliable street gang trends available to law enforcement personnel. The NJGIA has gathered an array of
speakers from throughout the State that will focus on the recognition and identification of street gangs that have infiltrated our Garden State. Special
guest speakers from throughout the U.S. will lecture on gang trends in their region and the influence and impact that it has on our States street gangs.

All attendees are required to have at conference their Law Enforcement identification for security verification.
Return completed application, with payment and/or purchase order number to the address listed at the bottom of this form.
Applicant Information (PLEASE PRINT CLEARLY or TYPE IN INFORMATION)
Name: (Last, First, MI):
Home Mailing Address:
Date of Birth:
Home Phone Number:
Cellular Phone Number:
E-mail Address:
(Must provide for access to members only secure message board forum)
Pager Number:
@
Applicant Employing Agency Information
Agency Name:
Title/Rank:
Agency Address:
Agency Phone Number:
Applicant Work Phone Number:
Ext.:
Agency Fax Number:
Supervisors Name, Title and Contact Number:
Ext.:
Additional Applicant Information
Please check all that apply:
Check below how you’re paying the Conference Registration Fee:
Conference registration fee and materials = $200.00 per attendee
Active LEO:
Retired LEO:
$30.00 returned check fee
New Member:
Renewal:
Cash: Check: Money Order: Voucher: Pay Pal: Other:
Signature Required: (Void if submitting via e-mail.)
Name:
Date:
/
/
NJGIA USE ONLY
Approved: Denied:
ID Confirmed:
Received on: / /
Entered in database on: / /
Payment received on: / / Check number:
Deposited on: / /
Invite sent on: / /
Membership PKG Sent: / /
Membership Number:
Additional Information:
ROSENDO PEREZ
KEITH STOPKO
FRANK APISA
DAVE SANTITORO
CARLOS DIAZ
EDWIN SANTANA
President
Vice President
Treasurer
Secretary
Sgt. at Arms
Training Coordinator
All applicant information is keep strictly confidential and will be used solely for membership identification and security purposes. The NJGIA is a non-profit
organization dedicated to the prevention and suppression of gangs and gang activity in New Jersey. By completing and submitting this application, the
applicant agrees to adhere to the NJGIA By-Laws. Applicant attests that he/she is at least 18 years of age as of this date, and a Sworn Law Enforcement
Official. The NJGIA Executive Board reserves the right to refuse membership to anyone and/or to suspend any member for violating the NJGIA rules and By-
Laws. Retired and Honorary Memberships will have to be voted on by the Executive Board, additional information may be required. Completed applications
may be submitted via e-mail to njgiamanagers@njgia.org or mailed to the address on the bottom of this page. For additional information regarding the NJGIA,
please visit the web-site at www.njgia.org or contact the NJGIA Regional Representative for your area. (Tax ID#: 510-553-517/000)
LAW ENFORCEMENT CONFERENCE REGISTRATION AND APPLICATION FORM
NJGIA ANNUAL CONFERENCE - PO BOX 5515 - NORTH BRANCH, NEW JERSEY - 08876