July 17, 2024 Summer Social

First Name *

Last Name *

Certification

Preferred Email Address *

Business Title

Company Name

Telephone *

Event Payment *

Member - $25

Member and Non-Member $55

Non-Member $30

Member with Potential Member - $25 and $15 Total $40

Paying on line: Please use drop down to select the proper payment for you.

Would you like to pay the fee online? *

Yes

No, I will pay at the door

Are you bringing a guest?

Yes

No

Guest First Name

Guest Last Name

Guest Company

Human Resource Association of Southern New Jersey