*Contact Information(Required.)

First Name

Last Name

Company/Organization

Title

Email

Office Phone Number & Ext.

Cell Phone Number (Optional)

I need the following CE Credits:

HRCI - PHR/SPHR

CPE/CPA

SHRM

CEBS

*Registration Fee(Required.)

Yes! I would like to participate in the RPRS Survey and waive my $150 registration fee.

I DO NOT wish to participate in the survey and I would prefer to pay the $150 registration fee or I have a registration code.

"Waive my registration fees & register me for the next Virtual Summit Session(s)."

Yes! Waive my registration fees and automatically register me for the next Session(s) in this series of Virtual Summits.

No. I will register for each additional Session on my own.
(Additional registration fees may apply.)

Registration Code/Comments

Refer a Colleague/Company (We will send them an invitation):

1) Colleague Name

1) Company

1) Email

2) Colleague Name

2) Company

2) Email