William Burnham Jr Death Scene Awareness Project
Land and Water Death Scenes
May 9, 2024
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 19, 2024
All Payments by Department Check must be received no later than April 19, 2024
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