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Last name
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First name
Middle name
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Organization
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Department
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Email
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Phone
Certification(s)
IPMA-CP
IPMA-SCP
PHR
SPHR
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Other HR-Related Certification(s)
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Name
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Name of Business/Organization
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Type of Product
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Address
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City
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State / province
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Postal code
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Phone Number
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Email Address
Website
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Meal Count
Dinner Wednesday Night
Breakfast Thursday Morning
Lunch Thursday
Breakfast Friday Morning
N/A
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Sponsorship Level
$500 - Exhibitor Booth
$1,000 - Sponsor
$1,500 - Gold Sponsor
$2,000 - Platinum Sponsor
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Amount Paid Today ($USD)
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Would you like to sponsor a meal or a break with advertising during the conference?
$250 - Break Time Sponsor
$500 - Breakfast Sponsor
$700 - Event Sponsor
No, thanks
Co-worker Name
Meal Count (Co-worker)
Dinner Wednesday Night
Breakfast Thursday Morning
Lunch Thursday
Breakfast Friday Morning
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Booth Needs
Electrical Outlets Needed for Booth
WiFi Needed for Booth
Both
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Booth Display
Table Top
Free Standing
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Door Prize
My company will provide a door prize
My company will not provide a door prize
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