shrm-registration-form-2015

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Register Online: members.shrmpr.org *Charge of $15 for registrations sent by email, fax or mail.

An Ongoing Business Evolution 42ND SHRM PR CONFERENCE AND EXPOSITION SEPTEMBER 17-18 • 2015 Phone: (787) 767-2141 Fax: (787) 767-3828 email: general@shrmpr.org

HRCI CERTIFICATION

Mail: PO Box 361761 San Juan, PR 00936-1761

PHR

SPHR

GPHR

Name ________________________________________________________

Business/Company _____________________________________________________

Business Number (_________) ___________________________________

Street Address _________________________________________________________

E-mail Address _________________________________________________

City ______________________ State/Province _________________ ZIP__________

LAST

FIRST

M.I.

PRINT CLEARLY

Job Title ____________________________________________________________

15% Early Bird *UNTIL, APRIL 30

Regular Prize

* These packages are for one person only. MEMBERS

NON-MEMBERS

2 days

$600.00

$850.00

$350.00

$475.00

Country ____________________________________________________________ *We will be sending ID Badge to the address above. * These packages are for one person only.

ENTER SELECTION

MEMBERS

NON-MEMBERS

ENTER SELECTION

Includes: Thursday and Friday Educational Program, breakfasts, lunch and social activities both days.

2 days

$700.00

$950.00

Includes: Thursday and Friday Educational Program, breakfasts, lunch and social activities both days.

One day (Thursday)

One day (Thursday)

$350.00

$475.00

Includes: Thursday Educational Program, breakfast, lunch, exhibitor's cocktail and social activity.

$375.00

One day (Friday)

$500.00

Includes: Thursday Educational Program, breakfast, lunch, exhibitor's cocktail and social activity.

$375.00

One day (Friday)

$500.00

Includes: Friday Educational Program, breakfast, lunch, exhibitor's area and Gala.

Includes: Friday Educational Program, breakfast, lunch, exhibitor's area and Gala.

5 Choices Certification by Franklin Covey

Additional Tickets

* These packages are for one person only.

* These packages are for one person only.

Early Bird Members $900

Regular Price

Non Member $1,150

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ENTER SELECTION

Members $1,000 Non Member $1,250

Thursday Lunch

$64.20

Friday Lunch

$64.20

Exhibitor's Area

$74.90

Friday Dinner & Gala

$128.40

PAYMENT INFORMATION

Keep up with your local network, join our chapter today! PR Chapter & National Dues (Combined)

$225

SHRM PR Cancellation Policy

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• Cancellations must be in writing and faxed to (787) 767-3828 • Cancellations will be charge a $50 administrative fee – until April 30, 2015. • Fifty percent (50%) of registration will be refunded for cancellations received from May 1, 2015 through June 12, 2015. • Cancellations received after June 13, 2015, are not refundable. If a SHRM PR member transfers his or her registration to a non member, the non member must do one of two things: pay the difference of the price or become a SHRM PR member at the time of transfer.

Total from All Sections Due $

Includes:Thursday Exhibitors' Cocktail & Social Activity

*This is a 2 days certification. Includes: breakfast, lunch, exhibitors' area, exhibitors' cocktail and social activities for both day's.

SHRM membership options

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For faster service, register online at http://members.shrmpr.org. We will not accept registrations after September 11, 2015. Charge of $15 for registrations sent by email, fax or mail. SHRM PR does not accept PO’S.

I authorize SHRM PR to charge my: AMEX VISA

MASTER CARD

LAYAWAY PLAN

Card number: ______________________________________ Exp.Date_______________________ Signature_______________________________________________________________________ Name (as it appears on credit card bill) __________________________________________________ Cardholder’s daytime phone number:_________________________________________________ If paying with American Express please enter CID Code here____________________________________


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