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* 1. First Name

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* 2. Last Name

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* 3. Company

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* 4. Title

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* 5. Email Address

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* 6. Chapter Affiliation 

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* 7. Consent to Use Photographic Images: Registration and attendance at, or participation in, Michigan Council of SHRM meetings and other activities constitutes an agreement by the registrant to the use and distribution of the registrant's or attendee's image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities by Michigan Council of SHRM and Events North, Inc.

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