CAPA & SHRM CHAPTER MEMBERS -$100 / NON-MEMBERS - $110

(New conference attendees are eligible for FREE membership in both organizations for the remainder of 2016)

Name: ______________________________________________________________________Company Name: _____________________________________________________________

Address: ____________________________________________________________________City _____________________________________ State _____________ Zip ___________Phone: _________________ E-Mail: ______________________________________________

Non-refundable payment enclosed: $____________ (a separate registration form is required for EACH attendee).

I am NEW to the conference and was referred by: _______________________________

(Person indicated is eligible for a $10 discount).

Make checks payable to: SHRM of SEMO

Mail Registration & Fee by April 8, 2016

Attention: Karen Bailey, City of Sikeston If you prefer to register & pay online105 E. Center visit www.capamo.orgSikeston, MO. 63801