On-Line Event Registration Form

Name of Event

Date of Event

REGISTRATION INFORMATION

Always use the TAB key to move through this form

* NAME

* TYPE OF ATTENDEE

* ORGANIZATION

* PHONE

FAX

* E-MAIL

GUESTS


Name &
Email ( req'd )

  1. (email)
  2. (email)
  3. (email)

SPECIAL ACCOMODATIONS OR MEAL REQUIREMENTS

SUGGESTIONS FOR FUTURE TOPICS

Late Fee Registration Type "yes" if late otherwise leave blank

* PRICE

* The fields in red must be filled out in order to be submitted.

If you have any questions about Akron SHRM, need to cancel, or trouble with the online event Registration form, please contact Mary Kay Wagner at 330-849-6659 or mwagner@ralaw.com.

"If you missed the midnight February 7, 2012 registration deadline!! Please type YES in the Late Fee box above and contact Mary Kay Wagner at mwagner@ralaw.com or call 330-849-6659 for seating availability"

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