April 21 CGIA Training Webinar

2021 Gang Officers Webinar

Presented by Matthew O'Deane and Sam Bailey
Send confirmation to: *
Email
Full Name *

Last Name First Name
Middle Name
Address (Work Preferred)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Fax Number

Area Code Phone Number
Your Email Address *
Please note: each registrant must have his or her own unique email address. A space for the training coordinator's email address is provided below, and those do not have to be unique.
Registration Information
Registrant Type *
Registration Comments
Agency Information
Agency/Organization *
Agency Type
Division
Unit/Assignment
Job Title/Rank
California POST ID
Note: California POST Number is required for any person needing California POST credit for classes attended.
Agency Phone 1

Area Code Phone Number
Phone Type
Agency Phone 2

Area Code Phone Number
Phone Type
Job Description
Job Status
Training Coordinator
or Contact, if organized by someone other than a training coordinator
T/C Email
or Contact email
T/C Phone Number

Area Code Phone Number
Billing Contact
Include name and best way to contact (phone #, email)
Additional Information
State and Bar# (For Prosecutors)
Fees and Payment Information
Conference Options

*Webinar - Members ($50) Webinar - Non-Members ($75)
* Membership will be verified by CGIA.
Expected Method of Payment

Check Purchase Order Money Order Credit Card Payment Forthcoming Unknown at this time
PO/Money Order#
If known
Please send CGIA your PO, check or Money Order to the following:

Mail: 5904-A Warner Avenue, #331, Huntington Beach, CA 92649

Email: rbanuelos@cgianet.com

Phone: (562) 713-2668

Fax: (714) 908-7100
Additional Comments
If you select Credit Card, you can enter your credit card info here for processing. If you want to pay later, select Payment Forthcoming, and print the form if you want a copy.
Calculation

Pay Now

USD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty:

2021 Gang Officers Webinar

Registration Information

Agency Information

Additional Information

Fees and Payment Information