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Human Resource Association of Southern New Jersey
Affiliate of SHRM
Chartered in
Vineland, NJ
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NJ SAFE Seminar registration form
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NJ SAFE Seminar registration form
Thank you for your interest in attending the "Keeping New Jersey Employers SAFE" seminar. Once you have completed the fields below, submit this form and your registration will be processed.
First Name
*
Last Name
*
Certification
PHR
SPHR
Title
*
Company
*
Email
*
Seminar Rate
*
HRA and Southern Shore Members $50
Non Member $65
Payment Method
*
Check (Mail to: HRA-Treasurer, PO Box 388, Vineland NJ 08362 ..put Seminar on check)
CreditCard
PayatDoor
Please select your payment method. For those paying with a credit card, you will be redirected to the PayPal site where you will enter your credit card information.
Are you bringing a guest?
Yes
No
Guest 1 First Name
Guest 1 Last Name
Guest 1 Job Title
Guest 2 First Name
Guest 2 Last Name
Guest 2 Job Title
Do you have any allergy/medical conditions that you'd like us to take into consideration when planning the menu?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
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