shrm-registration-form-2015

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Register Online: members.shrmpr.org

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

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

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 Investment

* These packages are per person. MEMBERS

NON-MEMBERS

2 days

$600.00

$850.00

$350.00

$475.00

Country ____________________________________________________________ *We will be sending ID Badge to the address above.

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* These packages are per person.

MEMBERS

NON-MEMBERS

Includes: Thursday and Friday Educational Program, breakfast, lunch and social activities.

2 days

$700.00

$950.00

Includes: Thursday and Friday Educational Program, breakfast, lunch and social activities.

One day (Thursday)

One day (Thursday)

$350.00

$475.00

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

One day (Friday)

$375.00

$500.00

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

5 Choices Certification by FranklinCovey

Additional Tickets

* These packages are per person.

Early Bird Members $900

Non Members $1,150

* These packages are per person.

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Regular Investment

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Members $1,000 NonMembers $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 through June 12, 2015. • Cancellations received after June 13, 2015, are non refundable. If a SHRM PR member transfers his or her registration to a non member, the non member must pay the difference of the price or become a SHRM PR member at the time of transfer.

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Total from All Sections Due $

Includes:Thursday Exhibitor’s Cocktail & Social Activity

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

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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