Colorado Chapter of the College and University Professional Association for Human Resources

College and University Professional Association for Human Resources (CUPA-HR) 2012 Summer Conference — Thursday, June 14 - Friday, June 15 DEADLINE for entry into the drawing for a FREE registration is Friday, May 25 DEADLINE for registration is Friday, June 8

INSTITUTION/BUSINESS PARTNER

NAME TITLE EMAIL CONTACT NUMBER RATE

CONFERENCE RATES MEMBER RATE NON-MEMBER RATE One participant/one room/one night (Thur) $335.00 $495.00 One participant/one room/two nights (Wed and Thur) $460.00 $620.00 Two participants/one room/one night (Thur) $610.00 $770.00 Two participants/one room/two nights (Wed and Thur) $775.00 $935.00

* Includes the $60 membership to the Rocky Mountain CUPA-HR chapter. Payable annually; covers all members of your organization. Fee includes: Registration cost, accommodations at the Keystone Lodge, breakfast, lunch and dinner on Thursday, June 14 and breakfast on Friday, June 15. Please notify us of any special dietary requirements and/or requests for consideration. Rocky Mountain CUPA-HR has made a commitment to the Keystone Lodge. You will NOT need to make a room reservation; it will be made in your name. PHR/SPHR Recertification Credits Pending Conference fees can be paid by check or credit card. If paying by credit card, please complete all information below: . Name on Card Expiration Date Type of Card (MasterCard, Visa, etc.) Credit Card Zip Code Account Number Total to be Charged Security Code

Please mail or fax completed form to: Rocky Mountain CUPA-HR, Attn: Ken Pinnock University of Denver Human Resources, Mary Reed Building-405, 2199 S. University Blvd, Denver, CO 80208 Fax: (303) 871-3656