February 21 , 2006 Registration Fax to: (608) 204-9818 Mail to: 2830 Agriculture Dr.
              Madison, WI 53718		  

Personal Information
Full Name:
Title/Position:       Company/Affiliation:
Address:
City: State: Zip:
Phone: Fax: Email:

Schedule for the Day
Registration 8:30-9:00

Workshop 9:00-11:30
Top HR and Benefits Mistakes and HR Roundtable
Lunch & Announcements 11:45-12:15
Keynote 12:15 - 1:00
Annual Legal Update
Registration Fees
Morning Presentation Only Lunch & Keynote Only All Sessions
__ $30 GMA SHRM Member __ $35 GMA SHRM Member __ $55 GMA SHRM Member
__ $40 Non Member __ $40 Non Member __ $70 Non Member
__ $10 Students __ $10 Students __ $20 Students
Method of Payment - Pre-payment required for non GMA SHRM members.
Total to be charged: _________ Mastercard       Visa      
Credit Card Number:     Exp. Date:
Three digit verification number (on back of credit card):
Name as it appears on card:
Billing Address for Credit Card:

Please contact the GMA SHRM office if special assistance or meal requirements are needed.
No refund will be given for cancellations after noon on Friday, February 17, 2006.
GMASHRM Headquarters
2830 Agriculture Dr.   ::   Madison, WI 53718   ::   Phone: (608) 204-9814  ::   Fax: (608) 204-9818   ::   Email: chapteradmin@gmashrm.org
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