AZ IPMA HR SPRING CONFERENCE

"Employee Engagement" May 1^st and 2nd, 2008

Renaissance Glendale Hotel & Spa

9495 W. Coyotes Boulevard, Glendale, AZ 85305

REGISTRATION FORM

NAME: ­­­­­­­­­­______________________________________

ORGANIZATION: _____________________________________

OFFICE ADDRESS: _______________________________________________________

CITY, STATE, ZIP: _____________________________________

PHONE: _________________

FAX: ____________________

Email: ________________________________________

Registration Types & Associated Fees

____Early bird registration                        $150

(Must register on or before April 21st)

____Multiple registrations / Early Bird    $140

(Two or more from same agency, must register on or before April 21st)

____Regular registration                           $175

(Received after April 21^st)

____Non-member fee                                 $20

(Added to cost of registration  i.e. $170 is cost for Non-member Early bird registration)

Please provide total here including the non-member fee if applicable.    $________

Note - Membership in AZ IPMA-HR will be verified. Dues must be current to avoid the non-member fee.

PLEASE RETURN REGISTRATION FORMS TO:

By Email: dale.whitson@phoenix.gov 

By Fax: 602 534-7449 Attn: Dale Whitson

By mail: Dale Whitson, Personnel Officer

City of Phoenix Housing Dept

251 W. Washington Street, 4^th floor

Phoenix, Arizona 85003

(602) 534-5455 - Voice

Cash, money orders and checks accepted. Please make Checks payable to: AZ IPMA HR

We are unable to accept credit card payments, we apologize for the inconvenience.

NOTE: Cancellations must be received by April 28, 2008 to avoid being billed the registration fee.