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First Name
*
Last Name
*
Designation(s)
*
SHRM-CP
SHRM-SCP
PHR
SPHR
GPHR
CEBS
No Designation
Other
Other
How do you want your name tag to appear at the conference.
Include First Name, Last Name and Designation exactly how you want it to be
*
Company
*
Title/Position
*
Street Address
*
Address Line 2
City
*
State
*
Zip Code
*
Preferred Phone
*
Mobile Phone
*
Email Address
*
Twitter Handle
Will you be joining us for the following meals (choose all that apply)
Thursday Breakfast
Thursday Lunch
Friday Breakfast
List Special Dietary or Accommodation Requests
Company Size
*
0-50
51-250
251-500
501-999
1,000+
Industry
*
Number of Years in HR
How did you hear about the conference?
*
Are you a SHRM member
*
Yes, SHRM Member
Yes, SHRM Student
Not a SHRM Member
Chapter Affiliation
*
Not a Chapter Member
HRA of Greater Emporia
SHRM of SouthWest Kansas
Western Kansas HRMA
Central Kansas SHRM
Southeast Kansas HRA
Jayhawk Chapter SHRM
HR Management Network
SHRM of Johnson County
Salina HR Management Assn.
SHRM-Topeka Chapter
Wichita Chapter SHRM
Other
Other
Is this your first time attending the Kansas SHRM State Conference?
*
Yes
No
Would you be interested in attending a virtual First Timer Orientation?
*
Yes
No
Unsure
Select one:
*
I will be attending the conference in-person
I will watch the sessions On Demand
On Demand sessions only (Member)
*
$299
On Demand sessions only (Non-Member)
*
$399
SHRM Members (includes On Demand) - Early Bird
*
$450
Non-SHRM Members (includes On Demand) - Early Bird
*
$529
Will you be joining us for the Wednesday evening networking reception with exhibitors?
*
Yes
No
Not Sure
Will you be joining us for the Thursday evening Manhappiness carnival?
*
Yes
No
Not Sure
What size shirt do you wear (unisex)?
*
Small
Medium
Large
XL
XXL
SHRM Student - Early Bird
*
$200
Coupon
During the checkout process you can pay by credit card or your bank account by clicking the PayPal button on the next screen. You do not have to have a PayPal account to pay with a credit card.
Paying by check is also available.
Please be sure to add
office@ksshrm.org
to your email’s whitelist to ensure you receive our conference communications.
As part of their benefits, our sponsor organizations may receive electronic attendee lists in advance of, and following the event. By default, the list contains name, title, company, address, and phone number. If you do not wish to share your email address, enter your email address here.