William Burnham Jr Death Scene Awareness Project

Death Scene Reconstruction Emphasis on Sequence of Events - May 10, 2018

Chambers Hill FD Banquet Hall - 6400 Chambers Hill Rd - Harrisburg, PA 17111
All Registration closes APRIL 23, 2018 AT 5:00PM


1 Form for EACH attendee

* If you need a W-9 please call 717-225-3883 and ask for Nancy. A form will be faxed to you.

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

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:_____________

Please mail your check to:

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

Fax: 717-225-3662

Early Registration: $75.00 per person - before April 1, 2018
Late Registration: $85.00 per person begins on April 1, 2018 CREDIT CARDS ONLY
DEPARTMENTAL CHECKS CANNOT BE ACCEPTED AFTER APRIL 1, 2018
All Registration closes APRIL 23, 2018 AT 5:00PM