Membership in HRACI

HRACI PHR/SPHR Certification Prep Class Registration Form

Name
Company
Address
City
State
Zip
Phone
Fax
E-Mail
Location Please select the location you would like to attend	Downtown - Indiana Business College (Tuesdays) Northside - Somerset CPAs (Wednesdays)
Registration Type (all amounts include the $50 late fee for registering after Sept. 1st)	Member - $450
	Study Group plus HRACI Membership - $610
	Non-Member - $700
	Ship my books for $25 extra OPTIONAL (books can also be picked up on the first night of class at no charge)
Payment Method	I am mailing a check. Please make payable to HRACI and mail to HRACI, 9840 Westpoint Dr Suite 260, Indianapolis IN 46256. Please allow 5 days for mail. Please charge my: Visa or MasterCard American Express
Credit Card #
Expiration Date
Name on Card
Amount
Any specific comments/requests?
Click the submit button Please wait until you get a confirmation screen.	Payment must be received in full by the first day of class.