A Copy of This Form and Your Payment Serves As a Receipt

EGISTRATION ORM R F “Employment Law Best Practices”

& Employee Handbooks Co-Host Pro-Activity + Prevention = Peace of Mind PRO-ACTIVITY + PREVENTION = PEACE OF MIND

November 12, 2013 9:00 am− 4:00pm Henderson Fine Arts, San Juan College, Room 9008

 $79 FCHRA Member fee  $89 Non-Member fee $109 Registrants requesting MCLE CEU’s  $99 Later Registration (after Nov 1, 2013) Lunch Choice Included in fee (please select)  Meat Lasagna  Vegetarian Lasagna

First Name: Last Name:  PHR  SPHR Address: City: State: Zip Code: Company No of Years in Name: HR: Company Industry: Company Size: Work Phone: Fax Number: Email Address:

Are you a Current National SHRM  Yes Member:  No SHRM Chapter Would you like to receive information Affiliation: on membership in FCHRA?  Yes  No How did you hear about the seminar? Please tell us future HR Benefits HRIS Rewarding Employees topics you would like to Business Skills for HR Legal Updates Electronic Security Issues be offered as seminars Mgrs Mergers/Acquisitions Strategic Planning (select all that apply): Cobra Issues Motivating Employees Training Compensation Performance Reviews Workers Compensation FLSA Issues Recruiting Talent Others: ______FMLA Issues Reduction in Force ______HR 101 Retaining Talent HR Certification Preparation

Please mail completed form and payment to: For registration information contact: Four Corners Human Resources Association Mandy Utley at 505-599-6525 or P.O. Box 5424 Jeff Kellerman at 505-609-6956 or Farmington, NM 87499 Email: [email protected] Please make checks payable to FCHRA Credit Card Payment also accepted via paypal invoice

A copy of this form and your payment serves as a receipt.