The Omaha, NE and Fort Worth, TX Police Departments proudly host the MdE 2017 Users’ Groups!

Why Attend?

Your training records depend on it!

Learn how to quickly & easily defend employment decisions that affect the safety of your personnel and the

people you serve!

Fort Worth, TX October 11-13th!

Omaha, NE October 16-18th!

HOTEL INFO- use Group Code ‘MdE’ Fort Worth: Courtyard Fort Worth West at Cityview Ph. 888.236.2427 Omaha: EVEN Hotels Omaha Downtown Ph. 402.345.3836 What You’ll Get Direct access to expert Consultants in the field of training documentation. 2 full days of Hands-On Learning on the PeACEqTM/ADORETM
software program your
Department invested in. Registration Fee $695* Early Bird Rate -$645* if registration is received before September 15th *Includes Lunch. Bring your Team!!!	Contact us: (877) 500-5396	MdE@MdE-Inc.com

MdE Conference Registration

Check which Venue:	Fort Worth, TX Omaha, NE

Attendee Name:	(Please complete one registration form per attendee)

Software Workshops:	Please sign up for specific workshops on the Agenda. There will be an overview of the following modules. Please checkmark the modules your department currently utilizes and those you’d be interested in adding at some time in the future:

Currently Utilize	Possible Future Interest
Performance Evaluation
ADORE- Field Training
Class
Employee Records Management
eQuipment/Weapons
**FIREARMS QUALIFICATION**
LMS/eLearning

Please describe any department training issues, software questions/features you would like to discuss:

Laptop – Based on past conferences, we are providing a computer lab environment with desktop computers. No laptop is needed on your part. To maximize training time, we will not troubleshoot laptops that are brought to the training session.

MdE Software Features/Services

Check the Software Features and/or Services you would like to discuss specific to your department needs:

Software Features

Email Option	LDAP (Single Sign-on/Uses Windows login/password) LMS/E-Learning (future option)

Import Employee Training Records (Please indicate current system, if known )

Import Call/Activity Log data from CAD/RMS (Please indicate system, if known )

Other

Services

DISC Values SLIITM (Situational Leadership) FTO Refresher Ethics Refresher Supervising Others

DEPARTMENT Field Training and Evaluation Program (FTEP)

Identify your Department's FTEP Method(s):

San Jose Reno/PTO Switched from San Jose to Reno/PTO Switched from Reno/PTO to San Jose

Modified San Jose	- Please describe:

Modified Reno/PTO – Please describe:

Other (Please specify)

Contemporary Issues in Training – Please let us know what items you would like to present or have addressed:

Fax To: MdE, Inc. at 301-497-9587 or email to MdE@MdE-Inc.com

www.MdE-Inc.com

Toll Free 877-500-5396

MdE Conference Registration

AGENCY ________________________________________________________

DEPARTMENT Human Resources Training Field Training EMS Other

If Field Training, identify Division(s): Patrol/LE Corrections Comm/Dispatch Other

ATTENDEE NAME ________________________________________________

STREET ADDRESS ________________________________________________

STATE, ZIP _________________

ATTENDEE PHONE ______________ATTENDEE EMAIL _________________________________

Registration Fee includes attendance at all regular workshops along with lunch provided daily.

Before September 15th: $645

After September 15th: $695

Additional attendees @ $595/each #____

Payment: Total $ ______________ PO # ______________ or Credit Card (Complete Authorization Below)

To be Invoiced - Provide Contact Name, Number and Address if different from above:

NAME __________________________________________________________

STREET ADDRESS ________________________________________________

STATE, ZIP ______________________________________________________

PHONE ______________EMAIL ________________________________

Credit Card Authorization

Agency/Company	_________________________________

Cardholder Name	_________________________________

Credit Card Number	- - -

Expiration date	/ (MM/YY)

3 digit CCID Number	(found on back of card)

(Please check) MasterCard Visa

Indicate Bank Name _________________________________

Is Billing Address same as above? (if not, please provide below)

___________________________

___________________________

I acknowledge the above information is accurate and I am an authorized signer of the account.

I hereby authorize MdE, Inc. to charge the above credit card account in the amount of $ (bring total down from above.

SIGNATURE ____________________________________ DATE ___________________

We will process your request upon confirmation of the Credit Approval code.

Fax To: MdE, Inc. at 301-497-9587 or email to MdE@MdE-Inc.com

www.MdE-Inc.com

Toll Free: 877-500-5396