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PLC:

a006ou

Agency:

texas panhandle peace officers association

For:

exhibitor-silver sponsor

Phone:

806-340-4176

Address:

9100 s georgia street
amarillo, texas 79118

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*Name:

Middle:

*Last:

Single booth space, demo vehicle space in parking area outside of the exhibit hall,1 six-foot table, 2 chairs, 3 representatives in booth, ANY additional representatives outside of the sponsorship level allotment will be $100 per attendee

*Company:

*County:

*Title:

*Address:

*City:

*State:

*Zip:

*Phone:

(### - ### - ####)

Fax:

(### - ### - ####)

*Email:

Multiple Attendees Names:

Location: Embassy Suites, 550 S. Buchanan Street, Amarillo, TX 79101

QUESTIONS? Please contact Kevin Johnson at 281-686-4055 or email at W_kevinjohnson@aol.com for questions or additional assistance.

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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