Attendee Information:
Name: ___________________________________________________________________________________________________________________
Lodge/Organization: ___________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________
City: _________________________________________ State: _________________________________ Zip: ________________________
Phone: _______________________________________ Email: _________________________________________________________________
T-Shirt Size: Small Medium Large XL 2XL
*Please note: Registrations received after January 29, 2025, will not be guaranteed their preferred T-Shirt size.
Method of Payment: (please select one)
*Please note: A convenience fee of 3% will be added by the card processing company to all credit card transactions. No part of
this fee goes to the National Fraternal Order of Police.
Check Amex Discover Mastercard Visa
Name on Card: ________________________________________________________________________________________________________
Credit Card #: __________________________________________________________________________________________________________
Exp. Date: __________________________ Security Code: ___________________ Total Payment: $________________________
Billing Address: _________________________________________________________________________________________________________
City: _________________________________________ State: _________________________________ Zip: ________________________
Email for Receipt: ______________________________________________________________________________________________________
Send Registrations and Payment To:
Registrations can be sent in by mail or email. If sent by email, complete this form, and save before sending. Confirmation will be
emailed upon receipt of the form and payment.
National Fraternal Order of Police
Attention: Stephanie Simpson
701 Marriott Drive, Nashville, TN 37214
Email: ssimpson@fop.net | Phone: 800-451-2711
Date: February 17-18, 2025. Check-in will be February 16th.
Location: Sheraton Music City, Nashville, TN
Registration Type and Fees: (please select one) Registration Deadline is February 3, 2025.
Attendee - $425 Spouse (with Attendee) - $210 Graduate Student - $180
2025 Wellness Summit
Registration Form