Registration Form
SPONSORED BY
15% Early Bird Discount FOR MEMBERS
Educational Conference Options
FOR FASTER SERVICE, REGISTER ONLINE. WE WILL NOT ACCEPT REGISTRATIONS AFTER SEPTEMBER 13, 2013. CHARGE OF $ 15 FOR REGISTRATIONS SENT BY MAIL OR FAX.
Personal Information HRCI CERTIFICATION
PHR
COME EARLY! PARTICIPATE IN THE WORKSHOP SESSIONS AND MAXIMIZE YOUR INVESTMENT!
*EARLY BIRD
Applies only on specified packages *UNTIL MAY 31ST
ASK FOR DETAILS! SPHR
GPHR
Name___________________________________________________________ Job Title_________________________________________________________
Select the package that fits your needs. DAY
MEMBERS
Wednesday
Company/Business_________________________________________________
NON-MEMBERS
$150
$199
$ Enter Selection
Address_________________________________________________________
Government Employees
City_____________________________State______________ZipCode________
Includes Wednesday’s educational program, break, lunch at exhibitors and Welcome cocktail.
Tel. ( )________________________Fax ( )_________________________
Thursday
Payment Information For faster service, register online at http://members.shrmpr.org. Mail registration form with payment, payable to SHRM, Puerto Rico Chapter. SHRM PR does not accept PO’s. I authorize SHRM PR to charge my: VISA
MASTER CARD
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____________________
SHRM PR Cancellation Policy • Cancellations must be in writing and faxed to (787) 767-3828 • Cancellations will be charge a $50 administrative fee until April 26, 2013. • Fifty percent (50%) of registration will be refunded for cancellations received from April 27, 2013 through June 14, 2013. • Cancellations received after June 15, 2013, 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.
OFFICE USE ONLY REGISTRATION I.D.______________________ BY_______ DATE____________ PAYMENT DATE___________________AMOUNT________________________ CHECK NO.______________________ DEPOSIT DATE____________________
How to Register On the web: http://members.shrmpr.org
$
$150
$399
AMEX
Special price
$599
Includes Thursday’s educational program, breakfast, lunch, breaks, Exhibitor’s Cocktail and dance for one person.
Friday
$399
$ Enter Selection
$599
Includes Friday’s educational program, breakfast, lunch, breaks, dinner and dance for one person.
2 days (Thu. & Fri.)
Early Bird
| After
Early Bird
$ Enter Selection
|
After
$599 $700 $900 $1,000
Includes Thursday & Friday’s educational programs, breakfasts, lunches, breaks and social activities for one person both days.
$ Enter Selection
Full Conference $765 $900 $1,080 $1,200 Include social activities $1,000 $1,180 $1,332 $1,480 for two persons Early Bird
| After
Early Bird
|
After
Includes Wednesday’s educational program and welcome cocktail Thursday’s and Friday’s full educational program and activities, Saturday Labor Law Forum and Afternoon Event.
Single Tickets Sale (Prices do not include IVU) EVENT Friday Plenary Session
$150
Thursday Plenary Session
$199
DAN THURMON PLENARY SESSION ONLY
PRICE
Enter Selection
TOTAL
$ $ $ $
JOHN FOLEY PLENARY SESSION & EXHIBITOR’S COCKTAIL
Thursday Social Activity $90
QUANTITY
$
e/a
$
Friday Dinner & Gala
$120
Saturday Afternoon
$35 adult $20 chld
$
Exhibitor’s (Thursday)
$50 e/a
$
Lunch
$60(Thursday or Friday)
$
e/a
e/a
$ e/a
SHRM membership options Keep up with your local network, join our chapter today! PR Chapter & National Dues (Combined) $365 National Dues (Already member of PR chapter) $165
$
(New member)
$200
(Additional member)
$180
$ $
(Renewals)
$150
$
PR Chapter
TOTAL PAYMENT
$
$__________________