Paying on or after July 1, 2012 and on or before July 20, 2012: Non-Certification $800 Certification $850:
Paying On-Site (if slots are available): Non-Certification: $900 Certification $950
Price for the One Day Pass: $295.00
I am signing up for the Double Major option (where I get two certificates in the two different specialty areas, it requires me to log-
in at least four hours in each track or specialty area, and I have enclosed an extra $90 for this option). ____Yes ____No
If yes regarding the Double Major, my second training track will be: (fill it in here)
Note anyone registering on-site: we reserve the right to refuse on-site registration to anyone for any reason. You will need
USC, money order, traveler’s checks, bank check, cashier's check, or government agency check to pay onsite.
Note: you know you are registered for the conference if and only if you receive from the NGCRC an official “Conference
Registration Confirmation” letter; we send these out PROMPTLY to all persons; so if you have not received one, you are
NOTE: Payment must be received by the NGCRC prior to the conference itself unless the NGCRC agrees to the terms of
any alternative arrangement (in writing).
Group Discount Code:_____________
PAYMENT METHOD: We prefer checks or money orders for payment. No personal checks will be accepted for on-site
payment of conference registration fees. We do accept credit card payments.
_____Payment enclosed in check or money order made payable to "National Gang Crime Research Center"
_____VISA, MasterCard, American Express or Discover (Circle one).
Expiration date: Month___________________________ Year:_________________________________
If this is a Mastercard, what is your Customer Number:_________________________________
Name on card: (printed):___________________________________________________________________
Your Signature:________________________________ Amount you authorize to charge (total):__$______________
Billing Address for the card holder(Printed): (street address)
Zip Code for the Billing Address:__________________________________
Call (708) 258-9111 if you need the NGCRC F.E.I.N. (tax number) or our Merchant Number for credit card payments. Also, call
(708) 258-9111 if you want to provide credit card info by verbal rather than written transmission.