William Burnham Jr Death Scene Awareness Project

Evil Intent
May 5, 2022


Swatara Twp. Fire Department Banquet Hall
6400 Chambers Hill Rd
Harrisburg, PA 17111

Please fax this form today to 717-225-3662 to hold your seat - followed by your check for payment promptly.

1 Form for EACH attendee

A W-9 will automatically accompany all submitted Invoices to Departments

Please provide your:

Name:_________________________________

Department: ____________________________(Needed for course certificate)

E-mail: ________________________________(Please print very clearly)

Field: Coroner__ Law Enforcement__

Please provide the following information for invoice.

Name:_________________________________

Department: ____________________________

Street Address __________________________

City, State______________________________

Zip Code_______________________________

Phone:_________________Fax:_____________

Email:__________________________________

Please mail your check to:

William Burnham Jr Death Scene Awareness Project®
586 Rockville Rd.
Spring Grove, Pa 17362

Fax: 717-225-3662

$95 per person
2- Entrée Catered Hot Buffett Lunch Included in Ticket Price
Registration Ends April 21, 2022
All Payments by Department Check must be received no later than April 22, 2022