Attendee detail

2010 WRIPMA-HR Conference Registration

ATTENDEE INFORMATION

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Fields marked with * are mandatory

First Name*

Last Name*

Designation
(IPMA-CP, IPMA-CS, CLRP, Ph.D, SPHR)

Title

Agency/Organization*

Address*

City*

State*

Zip*

Phone*

Fax

Cell Phone

E-mail*

Name for Badge*

Badge (Check all that apply)

	First Time Attendee		Conference Committee Member
	Chapter President		Chapter Board Member
	Region President		Region Board Member
	IPMA-HR National Officer		IPMA-HR National Staff
	IPMA-HR Certified

Comments and Special Needs (max. 250 words)

The conference site is accessible to people with disabilities. If you require additional accommodation in order to participate in the conference, please let us know in the Comments/Special Needs box.

Conference Options

Pre-conference registration, Wednesday, April 28, 2010 (9:00 am – 12:00 pm)

$75 registration on or before 4/9/10 $95 registration on or after 4/10/10

	Advanced Work Place Investigations - Irma Rodriguez Moisa, Esq. of Atkinson, Andelson, Loya, Ruud, & Romo
	Mediation Skills - Doing It The Right Way with National Conflict Resolution Center

Full conference registration fee include all receptions, meal and functions
[April 28, 2010, 1:00 pm onwards – April 30th, 2010, 4:00 pm]
(Pre-conference not included)

$245 on or before 4/9/10 $295 on or after 4/10/10

One Day Conference Registration, Friday, April 30, 2010

$75 One Day on or before 4/9/10 $95 One Day Conference on or after 4/10/10

RSVP

Will you be attending:

President's Reception (April 28, 2010)

YesNo

Luncheon (April 29, 2010)

YesNo

Guest Option

Will you be bringing a guest to the conference?

YesNo

	Number of guests
President's Reception ($50 per guest)
Tuesday Luncheon ($50 per guest)

Payment

Total Amount Due

Payment Method

CheckPayPal/Credit card

Name on Credit Card

Please send checks to
"San Diego IPMA-HR "
Ashley Kite
City of Santee Human Resources
10601 Magnolia Avenue
Santee, CA 92071

Registration received without payment will not be processed. If payment is not received by date of conference, you will be asked to submit another form of payment on-site.

CANCELLATION-REFUND POLICY
All cancellation requests must be in writing and received by March 31, 2010, to qualify for a refund. Cancellations received after March 31, 2010 are non-refundable. No shows are non-refundable.