March 2013- Leadership Conference

1. March 2013- Leadership Conference

Do the Right Thing in 2013!
OSHA and Employment Litigation Avoidance like you have never seen before
Thursday, March 14, 2013
7:30 A.M.—3:00 P.M.
Del’avant Event Center
LaGrange, GA
www.westgashrm.org

Question Title

1. Conference Attendee #1

Name:

Company:

Address:

City/Town:

State:

ZIP:

HRCI Credit? Yes/No

Email Address:

Phone Number:

Question Title

2. COST: Includes Lunch and Refreshments
Register and pay by credit card online at www.westgshrm.org or mail in this form with a check to West GA SHRM (Required.)

Member of West GA SHRM: $ 50

Nonmember:$ 60

Lifetime Member: Free

Student: Free- please bring ID

Sponsor: Included

Question Title

3. Register other attendees: Conference Attendee #2- Skip to question #7 for one registration

Name:

Company:

Address:

City/Town:

State:

ZIP:

HRCI Credit? Yes/No

Email Address:

Phone Number:

Question Title

4. Conference Attendee #2

Member of West GA SHRM: $ 50

Nonmember:$ 60

Lifetime Member: Free

Student: Free- please bring ID

Sponsor: Included

Question Title

5. Conference Attendee #3

Name:

Company:

Address:

City/Town:

State:

ZIP:

HRCI Credit? Yes/No

Email Address:

Phone Number:

Question Title

6. Conference Attendee #3

Member of West GA SHRM: $ 50

Nonmember:$ 60

Lifetime Member: Free

Student: Free- please bring ID

Sponsor: Included

Question Title

7. Payment: This semniar offers- breakfast, lunch, door prizes, excellent speakers, and HRCI credits (Required.)

I will bring a check to the event

I will Mail a check along with this page to West Georgia SHRM, P.O. Box 4475, LaGrange, GA 30241 along with this form (please print before hitting submit to print this page)

Paying by credit card using PayPal

Payment not required

Question Title

8. Interested in Sponsoring this event? (deadline March 7, 2013)

Platinum Level: $200.00: 2 conference registration fees; Company name mentioned throughout the day; Company information or handout given out to all conference attendees; Company given five minute “infomercial” to promote its business, during the conference; Company logos on marketing materials and web-site (must meet deadline)

Gold Level: $150.00: 2 conference registration fees; Company name mentioned throughout the day; Company information or handout given out to all conference attendees; Company logos on marketing materials and web-site (must meet deadline)

Silver Level: $100.00: 2 conference registration fee; Company name mentioned throughout the day; Company information or handout given out to all conference attendees; Company logos on marketing materials and web-site (must meet deadline)

Bronze Level: $50.00: Company name mentioned throughout the day; Company information or handout given out to all conference attendees; Company logos on marketing materials and web-site (must meet deadline)

We look forward to seeing you at the March 14, 2013 Conference!

Question Title

Question Title

* 1. Conference Attendee #1

Question Title

* 2. COST: Includes Lunch and Refreshments Register and pay by credit card online at www.westgshrm.org or mail in this form with a check to West GA SHRM (Required.)

Question Title

* 3. Register other attendees: Conference Attendee #2- Skip to question #7 for one registration

Question Title

* 4. Conference Attendee #2

Question Title

* 5. Conference Attendee #3

Question Title

* 6. Conference Attendee #3

Question Title

* 7. Payment: This semniar offers- breakfast, lunch, door prizes, excellent speakers, and HRCI credits (Required.)

Question Title

* 8. Interested in Sponsoring this event? (deadline March 7, 2013)

1. Conference Attendee #1

2. COST: Includes Lunch and Refreshments
Register and pay by credit card online at www.westgshrm.org or mail in this form with a check to West GA SHRM (Required.)

3. Register other attendees: Conference Attendee #2- Skip to question #7 for one registration

4. Conference Attendee #2

5. Conference Attendee #3

6. Conference Attendee #3

7. Payment: This semniar offers- breakfast, lunch, door prizes, excellent speakers, and HRCI credits (Required.)

8. Interested in Sponsoring this event? (deadline March 7, 2013)