Individual Registration

Please enter information in the form below to process registration for event Advanced FFDIC 2024.

Existing user? Please login

New User? Please register

Username*

Password*

Retype Password*

If you are registering someone other than yourself you must fill out the ENTIRE form with the students information only not department information.

Registration is limited to currently employed Fire Department, Police Department, and Coroner personnel only. Please do not register if you a private Fire Investigator. Are you a currently employed as Public Safety investigator? *

Yes

Select your field *

Students First Name *

Students Last Name *

Students Email *

Agency Email (training/finance)

Agency *

Students Home Address *

City *

Country *

Zip *

State

Phone *

Job Title *

Years of Experience in Fire/Law

Years of Investigative Experience

CA Post ID# (If applicable)

ICI Certificate Specialty

Ca Sate Fire Marshal Fire Inv. Level

Please list any classes or certificates you might have taken related to death, crime scene or general investigations:

Please fill out your name as you want it to appear on your certificate

Do you have any conditions (Medical Issues, Allergies, Special Diet, Etc.) which would require special assistance during your attendance at this training? If so, please describe

Please fill out your name as you want it to appear on your name tent for class:

Do You Want Medical CE's for this Course?

Yes

Do you have any special dietary needs?

Comment

Payment Information

Amount

$

Payment Processing Fee

$

Gross Amount

$

Deposit Amount

$

Payment Type

Payment Method *

PO Credit Card (+3% +$0.30) Pay Now

Credit Card Number*

Expiration Date*

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Card (CVV) Code*

Card Holder Name*

Credit or debit card*

Individual Registration

Existing user? Please login

New User? Please register

If you are registering someone other than yourself you must fill out the ENTIRE form with the students information only not department information.

Payment Information

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