January 2024 Training Registration

First Name *

Last Name *

Email *

Company *

If you are currently unemployed, please enter "Unemployed"

Phone Number *

Guest #1

Guest #2

Guest #3

Select your payment amount *

$30.00 - SHRM Topeka Members

$60.00- Non-member or Guests

$90.00 - SHRM Topeka Member plus 1 Guest

$150.00 - SHRM Topeka Member plus 2 Guests

$210.00 - SHRM Topeka Member plus 3 Guests

$0.00 - Students and Board Members

Select your payment method *

Check or Cash Payment at the Door

Check Payment by Mail

Online Payment via PayPal

Not Applicable - Student or Board Member

Date:	January 18, 2023 1:15pm - 4:00pm
Location:	The Beacon \| 420 SW 9th St. Topeka, KS 66612

SHRM Topeka