*indicates a required field

Please select from the following: *

Please enroll me in the HR Roundtable and bill my company $985.00. A discounted price of $825 will be billed for Early Registration.

We would like to enroll additional HR team member(s) at reduced amount of 50% off.

I do not wish to become a member this year, but please keep me on the mailing list.

Please remove me from the mailing list for HR Roundtable invitations.

Time *

Thursday Session

Friday Session

First Name *

Last Name *

Title *

Company *

Address *

Street Address 2

City *

State *

Zip Code *

Phone number *

E-mail*

Second Member Name

Second Member Email