San Diego - Imperial HIDTA

Register to Receive SDI HIDTA Training Alerts
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CONTACT INFORMATION
(for registration purposes only)
First Name  *

Last Name *

Position/Title/Rank:  *


Are you sworn law enforcement? *
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Are you a HIDTA Member?
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Phone Work: (###-###-#### - ext) *

Mobile Phone: (###-###-####)

E-mail:  *

  

AGENCY / ORGANIZATION
Agency/Organization Name:  *

Federal State Local  MiltaryOther
Agency Address: *

Agency Address 2:

Agency City: *

Agency State:*
   Agency Zip code:*

SUPERVISOR INFORMATION
For Law Enforcement Status Verification
Supervisor Full Name

Supervisor Phone Work: (###-###-#### - ext)

Supervisor E-mail:

All registration information is considered strictly confidential and will not be shared.