FAX RESERVATION SHEET
SEPA SHRM BREAKFAST MEETING 8:00 AM - 10:15 AM PLEASE PRINT OUT THIS FORM, FILL IT OUT, AND THEN FAX IT TO US TO REGISTER. You may include a copy of this form when you mail your payment if you wish, but you MUST FAX IT in order to register in time, ONLY USE MAIL FOR PAYMENT.
Reservations must be received by the Friday before each meeting. If you are unable to meet this deadline, please try to call the hotline, (215) 698-7116, by 10AM, the Monday morning before the meeting. FAX THIS FORM TO: (215) 698-7116
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Meeting Date You Plan to Attend: ______________
# Attending: _______________________
SHRM #: _________________________
Name: ___________________________
Title: _____________________________
Email Address: ____________________
In Transition? _______If so, indicate date you joined SEPA___________
Employer: _________________________
Phone Number: _____________________
Guest's Name: _____________________
Guest's Employer: ___________________
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Make checks payable to SEPA SHRM SEPA SHRM Administrator c/o Human Resource Troubleshooters 9090 Pine Road - Office Suite 'B' Philadelphia, PA 19115-4417
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