Application to Attend

Please complete the form below and then click the blue "Click to Submit" button.
Each individual applying should complete their own form.

First Name*
Last Name*
Your Title
Name on Badge*
Confirm E-Mail
State (two-letter abbreviation)*
Phone Number*
Cell Number*
Emergency Contact Person AND Phone Number*
To verify that you're a real human and not an automated spambot, please answer the following question:
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*These fields are required to have a value.

Please tell us about your organization:

Number of Sworn Officers

Population Served (Approximate. Please use only numbers, no words: e.g. 5000000)

Annual Budget (Approximate. Please use only numbers, no words: e.g. 5000000)

Number of Police Vehicles

Video for On-Officer or In-Car use

Artificial Intelligence or other Data-Based Intelligence Solutions

E-ticketing Solutions

Computer-Aided Dispatch Systems and Software

Records Management Systems and Software

Evidence Management

Biometrics and Identification

In-Vehicle Mounts for Laptops and Equipment

Personnel Scheduling Software

Other Police Technology you'd like to acquire? (Please describe)

Are there any technology suppliers you would like to nominate to present at CopTech?

Are there particular topics you would like to see addressed at CopTech?

What other police events will you attend this year?

What is your agency's overall trend on technology spending?

How will your agency fund technology purchases you expect to make? Please describe if you have budget allocated, grants applied for, or other funding sources you have or expect to have in place.

Do you understand that attendance at all sessions is required for your grant?

Name and Rank (or title) of your immediate supervisor.

IF YOUR AGENCY HAS ATTENDED COPTECH BEFORE: Please tell us which vendors you met at CopTech you have done business with or had visit to present to your agency (Please be specific about company and what was purchased. This is a required question. If it does not apply, please just type "N/A." Thank you.)