Name:
_________________________________________________________Certification: ___________________
Title:
________________________________________________________
Company:
______________________________________________________________________________________
City
: ___________________________________________ State:
_________________ Zip Code: ______________
Work
Phone: (
) _________________________________ Fax: ( ) _____________________________________
E-mail
Address:
________________________________________________________________________________
|
Dallas HR Member Rate |
Non-Member Rate |
September 12, 19, 26 & October 3 |
___$500.00 |
___$550.00 |
£
Check made payable to: Dallas Human Resource Management
Association, Inc. and indicate the attendee’s name(s).
£
I
authorize Dallas HR to charge my:
AMEX
£
MasterCard £
Visa £
Card #:__________________________ Exp. Date:__________________
Name
as it appears on card:
____________________________________________________________________
Signature:________________________________________________
Amount
to charge:
$_________________
£
Cash
(If paying with cash, please bring correct change.)
£
IMPORTANT:
Advance reservations are required.
To receive cancellation
credit, you must fax your cancellation request to Dallas HR by
5:00
p.m. on the Wednesday prior to the meeting.