2018Conference Registration Form(March 7-9, 2018)

Please use the same mailing address for all membership information to avoid duplicate mailings

Name:______Title: ______Company: ______

Mailing Address:______City: ______State:______Zip:______

Phone:______Email:______

2018 ConferenceAttendance Fees

2018 Membership Fee (January 1, 2018 through December 31, 2018)$90.00 □

Annual Conference Fee (Available for 2018CSHRM Members) $425.00 □

Annual Conference Fee (Non-CSHRM Member)$525.00□

Conference Registration Fee Raises $50 after February 21, 2018

Refund Policy

If an attendee needs to cancel at any time prior to the conference’s start, we offer credits towards the following year’s conference. If you do not want credits towards the following year’s conference, we provide the following cancellation/refund options:

Cancellation more than 60 days prior to the conference: a full refund of registrations fees, less a $50 cancellation fee.

Cancellation 30-60 days prior to the conference: a 50% refund of registration fees.

Cancellation less than 30 days prior to conferencewill result in credits to next year’s conference or you may transfer your registration to another party.

All cancellation requests must be made in writing prior to March 1, 2018, to . Registrants who fail to attend the conference without prior notification of cancellation will be assessed the full conference fee. All refunds will be provided after the conference.

Annual Golf Tournament Fees. (Wed. March 7, 2018)

Name / Average 18 hole score / Or Beginner / $100.00
Two Players / $190.00
Name: ______/ Average 18 hole score / Or Beginner
Three Players / $275.00
Name / Average 18 hole score / Or Beginner
Four Players / $355.00
Name / Average 18 hole score / Or Beginner
Total

California BRN CE, MCLE, CPHRM and Insurance Agents & Brokers CE Credit Offered

Payment Method

□ Via check - payable to “CSHRM” - mailed to: 1226 Spencer Ave., San Jose, CA 95125□ Online, with credit card, visit and click on payment button □ Charge my credit card:

□ Visa/Mastercard□ American Express□ Discover

Card Number:______Exp. Date:______Name of Card:______

3 or 4 Digit Security Code: ______Billing Address: ______

Mail completed Registration Form and Payment Information to:

“CSHRM 2018 Conference” at 1226 Spencer Ave., San Jose, CA 95125

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