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HRACI Diversity Conference Registration Form

April 16, 2009
8:00am-1:20pm
Holiday Inn North at the Pyramids

No-Shows WILL be billed.
Only cancellations made at least 48 hours in advance of the conference will be excused.

Name

Company

Address

City

State

Zip

Phone

Fax

E-Mail
Attending Entire Conference including Luncheon and Keynote
(single person registration)
 Member - $59
Guest- $79
Student - $25
Attending Luncheon and Keynote Speaker ONLY
(single person registration)
Member - $25
Guest- $35
Student - $15

Corporate Registration
Registering 4 or more people from same company

 

 

 

 

 

Group Member Rate: $49 each
 Group Non-Member Rate: $69 each

Please list the names of all registrants from your company in the field below. Please label each individual as a member or non-member of HRACI.
Payment Method

I am mailing a check.
Please make payable to HRACI and mail to HRACI, 9840 Westpoint Drive, Suite 260, Indianapolis IN 46256. Please allow 5 days for mail.

I am bringing a check or cash 
 Visa or MasterCard
American Express

I would like to use 1 meeting certificate for $25 off my total registration fee (you must check another payment option to pay your remaining balance)
Credit Card #
Expiration Date
Name on Card
Amount
Cancellations
 Cancellations not made 48 hours prior to the conference will result in a billing for the conference cost.
Any specific
comments/requests?

I would like a vegetarian meal
Click the
submit button
Please wait until you get a confirmation screen.

No-Shows WILL be billed.
Only cancellations made at least 48 hours in advance of the conference
will be excused.

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Human Resource Association of Central Indiana
Affiliate of the Society for Human Resource Management
9840 Westpoint Drive, Suite 260
Indianapolis IN 46256
Phone: (317) 841-3236 Fax: (317) 841-8206
e-mail: information@hraci.org