THE RAY E. HELFER SOCIETY JOB FAIR April 2, 2017 Lunch & Break April 3, 2017 Lunch & Breaks Grand Hyatt Denver, Colorado JOB FAIR REGISTRATION FORM

Date:

Name:

Institution:

Address

Phone number:

E-mail:

REGISTRATION FEE

Job Fair Registration (Helfer Member) $50

Job Fair Registration (Non-Member)** $100

PAYMENT

TOTAL PAYMENT

Check enclosed payable to the Ray E. Helfer Society Visa MasterCard Discover American Express

Card Number Exp. Date Security code Name as appears on card

Signature

Please mail this form with payment to: The Ray E. Helfer Society, 350 S. Poplar Avenue, Elmhurst, IL 60126, fax 630.359.4274 or email to [email protected] (credit card payment is required with email or fax).

** Note: Participation in the job fair does not allow attendance at the meeting or any other associated events, including meals.**

REGISTRATION DEADLINE IS FRIDAY MARCH 24, 2017