On Line Registration Form
Step 1 of 2

Name:
Address:
City:
State:
Zip Code
Phone Number
E-mail address:
Agency/Department:
Rank/Classification:
Course title, date, & location:
 

 

 

Seating is limited and will be accepted on first come, first served basis.

If paying by money order, please mail the above information and check or money order to:

Heartland Law Enforcement Training Institute
P.O Box 902
Lee's Summit, Mo 64063
(816) 554-8888 Fax: (816) 554-8879