Questions? Please Call Robert - Conference Coordinator 406-523-3387

2012 Montana SHRM State Conference in Great Falls, MT April 25th – 27th 2012

REGISTRATION FORM

Conference Registration Includes  All General Sessions & Concurrent  Thursday Luncheon Sessions of Your Choice  Thursday & Friday Breakfasts  Printable Handouts for all Sessions  Thursday Evening Social and Silent Auction  Wednesday Welcome Reception

NAME: ORGANIZATION: CONTACT PHONE: E-MAIL ADDRESS: ARE YOU A NATIONAL SHRM MEMBER? Y? N? IF APPLICABLE: PHR SPHR

NAME OF LOCAL CHAPTER (if applicable):

PLEASE LIST NAMES OF ADDITIONAL ATTENDEES AND THEIR EMAILS Nat. SHRM Indicate Member? PHR/SPHR Y/N

MARK ALL THAT APPLY # of Price TOTAL Attendees ½ Day Pre-Session – Compensation Strategy – Karen Vujtech, SPHR, $75 GPHR Student Conference Registration $104

Early Bird Conference Registration - Payment must be received no later $199 than 3/25/2011. Regular Price Conference Registration $240 Conference registration is transferrable, but non-refundable. TOTAL All conference attendees are responsible for making their own hotel DUE reservations – see below

Payment Options for Conference Registration Pay by Credit Please complete this form, SAVE and E-MAIL completed form to Card [email protected] 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 17172, Missoula, MT 59808 - Make checks payable to: MT State Council SHRM Tax ID #83-0290616 Lodging Reservation Options 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 Inn Great Falls 1-406-727-7200. The block is under SHRM. Deadline is April 6th, 2012. Rates are good April 25th-27th.

Rate is $99/night + tax State Rates available

Questions? Please call Robert - Conference Coordinator – 406-523-3387 For accommodations or special meal requests, please contact the Conference Coordinator directly