HRACI Meeting Registration

IndySHRM Meeting Registration Form
November 2009

Date:	Thursday, November 19, 2009
Topic:	“HR Earning A Seat At The Leadership Table”
Speaker:	Joseph D. Barrett Sr., Vice President, Achievant
Location:	Holiday Inn North at the Pyramids 3850 DePauw Blvd. Indianapolis, IN 46268
Agenda:	10:30am-11:00am Registration 11:00am-11:30am Volunteer Fair (11:15-11:45 committee presentations) 11:30am-12:00pm Networking/Lunch 12:00pm-12:15pm Announcements 12:15pm-1:15pm Speaker 1:15pm Adjourn

No-Shows WILL be billed.
Only cancellations made at least 48 hours in advance of the meeting will be excused.

Name

Company

Address

City

State

Zip

Phone

Fax

E-Mail

Registration Type

Member - $25
Guest- $35
Student - $15

I would like a vegetarian meal

Payment Method

I am mailing a check.
Please make payable to IndySHRM and mail to IndySHRM, 8945 South Street, Fishers, IN 46038. Please allow 5 days for mail.

I am bringing a check or cash

Visa or MasterCard

American Express

I am using an IndySHRM Event Ticket (non-members using tickets must pay an additional $10)

Credit Card #

Expiration Date

Name on Card

Amount

Cancellations

Cancellations not made 48 hours prior to the meeting will result in a billing for the meeting cost.

Any specific
comments/requests?

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Please wait until you get a confirmation screen.

No-Shows WILL be billed.
Only cancellations made at least 48 hours in advance of the meeting
will be excused.