HRACI Meeting Registration

HRACI Meeting Registration Form
July 2009

Date:	Thursday, July 16, 2009
Location:	Holiday Inn North at the Pyramids 3850 DePauw Blvd. Indianapolis, IN 46268
Agenda:	11:30 a.m. Registration & Networking 12:00 a.m. Luncheon 12:15 p.m. Announcements 12:20 p.m. Program 1:20 p.m. Adjournment

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

Name

Company

Address

City

State

Zip

Phone

Fax

E-Mail

Registration Type

Member - $25
Guest- $35
Student - $15

I would like a vegetarian meal

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 am using an HRACI Event Ticket (non-members using tickets must pay an additional $10)

Credit Card #

Expiration Date

Name on Card

Amount

Cancellations

Cancellations not made 48 hours prior to the meeting will result in a billing for the meeting cost.

Any specific
comments/requests?

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 meeting
will be excused.