Register for the 2017 SHRMinar

First Name *

Last Name *

Email *

Company *

If you are currently unemployed, please enter "Unemployed"

Address *

City *

State *

Zip *

Phone Number *

Are you a Topeka - SHRM member? *

Yes

No

Form of Payment

$75 - One attendee, mail in payment or pay at the door

$150 - Two attendees, mail or pay at the door

$225 - Three attendees, mail or pay at the door

$79 - One attendee, pay online ($4 convenience fee added)

$154 - Two attendees, pay online ($4 convenience fee added)

$229 - Three attendees, pay online ($4 convenience fee added)

Dietary Needs? *

None

Diabetic

Vegetarian

If there are other attendees from your company that you'd like to include with this registration, you may add their names below: Attendee#1

Dietary Needs of Other Attendee #1?

None

Diabetic

Vegetarian

Other attendee #2

Dietary Needs of Other Attendee #2?

None

Diabetic

Vegetarian

Other attendee #3

Dietary Needs of Other Attendee #3?

None

Diabetic

Vegetarian

Date:	August 24, 2017, 9:00 am - 4:00 p.m.
Location:	Capitol Plaza Hotel Topeka, KS
Topic:	9:00am - 12:00pm "Rock Your Business" 1:00pm - 4:00pm "Strategic Team Building" (Strategic/Business HRCI credit)

SHRM Topeka