2017 November Meeting Registration

Registration Type *

Member On-time (Register on or before 11/9/17): $25

Member Late (Register on or after 11/10/17): $30

Guest On-time (Register on or before 11/9/17): $35

Guest Late (Register on or after 11/10/17): $40

Student On-time (Register on or before 11/9/17): $20

Student Late (Register on or after 11/10/17): $25

Payment Method *

Pay online via PayPal

Pay by check at the door

How will you pay for your meeting?

First Name *

Last Name *

Title

Company

Address

City

State

Phone

Email *

Number of Guests

Are you bringing any guests? If so, how many? NOTE - You may pay for as many guests as necessary by clicking the "Keep Shopping" link in PayPal.

Guest Name(s)

Please list all your guest names here.

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Valley Society for Human Resource Management