Free 53373.FH11 - Indiana

ORDER FOR ILEA MULTI-MEDIA TRAINING MATERIALS
State Form 53373 (9-07) Approved by State Board of Accounts, 2007 LAW ENFORCEMENT TRAINING BOARD / INDIANA LAW ENFORCEMENT ACADEMY

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INSTRUCTIONS:

1. 2. 3. 4. 5. 6.

Complete all fields. Enter your name and address in the bottom section of this form, which will be used as a mailing label. There is a limit of six (6) disks per order. Enclose a check for the appropriate amount - $5.00 per disk plus $4.00 per order for shipping and handling. The check should be made payable to the Law Enforcement Training Board. Mail this completed form to the Indiana Law Enforcement Academy at the below address.

To:

Indiana Law Enforcement Academy PO Box 313 Plainfield, IN 46168-0313 Attn: Business Office

From:
Name Telephone number

(
Department

)

Address (number and street, city, state, and ZIP code)

DESCRIPTION

FORMAT

PRICE EACH

QUANTITY

TOTAL PRICE

Law Enforcement & Persons with Mental Illness Disability Awareness for Law Enforcement Introduction to Human Trafficking

DVD CD-ROM DVD

$5.00 $5.00 $5.00
SUB-TOTAL SHIPPING AND HANDLING TOTAL AMOUNT DUE

$0.00
$0.00

$0.00

$0.00
$4.00
$0.00

STATE OF INDIANA

INDIANA LAW ENFORCEMENT ACADEMY
PO BOX 313 PLAINFIELD, IN 46168-0313