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2008 Midwest Regional Polygraph Seminar Registration Information
Two ways to submit Registration Forms:
Go to our Online Registration Form or Mail Registration Form
For Vendor & Exhibitor Registration go to the Vendor & Exhibitor Registration Page
Note: Must be a certified Polygraph examiner
$125.00 If registration is paid by Jun 30, 2008
$175.00 If registration is paid by Jul 01, 2008
$175.00 If registration is paid after Jul 01, 2008
Registration deadline: Oct 01, 2008. Registration fees include the cost of instruction, hand-out materials, hospitality and conference room expenses, etc. For additional information, contact Kari Bumbleburg, Lafayette Instrument Company at (765) 423-1505 or via email at: kbumbleburg@lafayetteinstrument.com or Jamie McCloughan, Michigan State Police Dept at 989-348-5449 or via email at: McClougi@michigan.gov .
Make checks payable to: Midwest Regional Polygraph
Mail registration information and payment to:
MRP
PO Box 5729
Lafayette, IN 47903-5729
Fax: (765) 423-4111
Registration Fees DO NOT cover your hotel accommodations. Reservations need to be made directly with the hotel.
Hotel Registration deadline: Sep 19, 2008. You will need to make sure that you inform the reservation attendant that you are attending this seminar.
Negotiated room rates are $79.00 if your room is reserved by Sep 19, 2008. Any Registrations made after that date will be $Current Hotel Rate. Accommodations are on a first come first serve basis. Call (616) 774-2000 and make your reservation today.
Amway Grand Plaza Hotel
187 Monroe Ave NW
Grand Rapids, MI 49503
Phone: (616) 774-2000
www.amwaygrand.com
TBA
Cut Off and Return
Name: ___________________________________ Title: ____________________________________________________
Organization: _____________________________________________ Phone: __________________________________
Address: ___________________________________________________________________________________________
City: _________________________________ State: _______________________ Zip: ___________________________
Method of Payment: 
Check Enclosed Credit Card
Amount Due: ___________ Circle One: Visa MC Am Ex
Credit Card Number: __________________________________________________ Exp. Date: _________________
Name (as it appears on card):____________________________
Security Code (last 3 digits on back of card):_______________
Cardholder Billing Address: _________________________________________________________________________
State Association Membership: ______________________________________________________________________
Email Address: _____________________________________________________________________________________
