Event Details

Click here for Registration Form

Wiregrass Human Resources Management Association

16th Annual Forum and Exhibitor Fair
Thursday, September 17, 2015
(Check-in begins at 7:30. Forum will end by 4:00 p.m.)
Location: Sony Hall, on the Campus of Troy University, Dothan

PARTICIPANT REGISTRATION FORM

NAME
Company Name & Address
Please print. Name and company as it appears here will be on your nametag for the forum.
City / State / Zip
Telephone
Email Address
To participate, return your registration form by September 10, 2015

By Fax: 334-983-0009

By Mail: Troy University, ATTN: Kathy Farley, Adams 200, P.O. Box 8368, Dothan, AL 36304

By Email: Scan this form and send as attachment to: whrmadothan@yahoo.com
PAYMENT METHOD:

Check enclosed (Check must be payable to: Troy University)

Please invoice my company using contact information above
(Invoice requests will not be accepted after September 3, 2015)

 Credit Card ___Amex ___Discover ___MasterCard ___Visa
Number:_______________________________________Exp. Date: _________________
Name on Card:____________________________________________________________

Indicate amount paid:
 $85
Non SHRM or Chapter Member
 $75
SHRM Member or other Chapter. Chapter Name:_________________________________
 $70
WHRMA Member
 $45
University / College Student. School Name: ______________________________________