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2011 Montana SHRM State Conference in Billings, MT
April 27th – 29th 2011
REGISTRATION FORM /
Conference Registration Includes
ü  All General Sessions & Concurrent Sessions of Your Choice
ü  Printable Handouts for all Sessions
ü  Wednesday Welcome Reception / ü  Thursday Luncheon
ü  Thursday & Friday Breakfasts
ü  Thursday Evening Social and Silent Auction
NAME: / ORGANIZATION:
CONTACT PHONE: / E-MAIL ADDRESS:
ARE YOU A NATIONAL SHRM MEMBER? Y? N?
NAME OF LOCAL CHAPTER (if applicable): / IF APPLICABLE: PHR SPHR
PLEASE LIST NAMES OF ADDITIONAL ATTENDEES AND THEIR EMAILS / Nat. SHRM Member? Y/N / Indicate PHR/SPHR
MARK ALL THAT APPLY / # of Attendees / Price / TOTAL
1/2 Day Pre-Session—HR 101 - Presented by Jim Nys / $50
1/2 Day Pre-Session— Creativity Boot Camp for Leaders and Trainers - Candy Whirley / $75
Student Conference Registration / $104
Early Bird Conference Registration - Payment must be received no later than 3/25/2011. / $204
Regular Price Conference Registration / $234
Conference registration is transferrable, but non-refundable.
All conference attendees are responsible for making their own hotel reservations – see below / TOTAL DUE
Payment Options for Conference Registration
Pay by Credit Card / Please complete this form, SAVE and E-MAIL completed form to
NEXT follow this link http://Montana.shrm.org to make a secure credit card payment via PayPal. If paying by PayPal please put name of person that will be paying if different than registrant______
Pay By Check / Please do not e-mail, rather, PRINT and MAIL completed form and payment to:
Montana SHRM, PO Box 50958, Billings, MT 59105 - Make checks payable to: MT State Council SHRM
Tax ID #83-0290616
Lodging Reservation Options
Reserve Online / Rooms are filling fast! Click Here to proceed directly to the reservation desk to book rooms. You will need to enter your group booking code in the reservation process: SHR or call Holiday Grand Montana 1-800- 465-4329. Deadline in March 27, 2011 Rates are good April 25th-29th.
Single Rate is $89/night + tax Double Rate is $89/night + tax State Rates available

Questions? Please call Kelly - Conference Coordinator – 406-444-3230

For accommodations or special meal requests, please contact the Conference Coordinator directly