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Please Print This Form and fax to: 847/223-1537 at least two weeks prior to course TOPS Police Canine Seminar And Advance Course Registration Form COURSE: ________________________________________________ DATE: _____________________________ Location: T.O.P.S. ____________________________________________________________ Todays DATE:________________________________ Police Department:_________________________________ Address:________________________________________________________ Telephone number:_____________________Fax:_______________________ Canine Unit Supervisor:________________________________________ Canine Handler(s):_________________________________ Required additional equipment: None *Cost: $___________ Please advise how your agency would like to receive information about upcoming training seminars, and whom they should be directed to. U.S. Mail or E-Mail address:_________________________ Fax or Pager or telephone:______________________ Attn:_____________________________ *Your agency will be billed for the course. Please advise if the invoice should be directed to anyone specific.