Partner Registration Form                           

Company Name (Exactly as it will appear on the exhibitor sign)

Address:________________________________________________________________________

City_____________________________________, State ____   Zip______________________

Contact name:_________________________________________________________________

E-mail:_______________________________________________________________________

Telephone: (_________)_____________________

Fax:  (___________)________________________

Product/service description (25 word limit):____________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Solution Center Representatives:

Name:___________________________________________________________________________

Title:____________________________________________________________________________

Name:___________________________________________________________________________

Title:____________________________________________________________________________

Directions for on-line registration will be sent to you at a later date.

Thank you for your continued support of the NYS Society for Human Resource Management

Payment Information:

Booth(s) subtotal:  $________________________

Partnership(s) subtotal: $____________________

Advertisement subtotal: $___________________

TOTAL: $________________________________

FULL PAYMENT MUST ACCOMPANY THE REGISTRATION FORM

Payment method

___Check – payable to NYS SHRM 2008 Conference

___Master Card   ___VISA   ___ Discover

Name as it appears on the card:

Address of card holder:

__________________________________________

Card#:___________________________________

Expiration date:___________________________

Signature:________________________________

RETURN TO:

Annette Guido, Conference Chairperson

2063 Rosedale Way, Schenectady, NY 12303

E-mail:  aguido1@nycap.rr.com

Telephone:  518-356-8850