CONFERENCE REGISTRATION RATES PREVIEW EARLY BIRD STANDARD LATE

(after

PIHRA MEMBER

3-days

1-day Mon TuesCALSHRM CHAPTER MEMBERS

3-day

1-day Mon Tues

SHRM AT-LARGE MEMBERS

3-days

1-day Mon Tues

NONMEMBER JOIN NOW!

1-day Mon Tues

+ JOIN PIHRA ($150 value)

PROGRAM ADD-ONS

On-Demand $ 9 $149

PROMO/DISCOUNT CODE TOTAL DUE $

PIHRA IS COMMITTED TO OFFERING THE HIGHEST QUALITY CONFERENCE AT REASONABLE RATES

Save up to 50% off from comparable conferences.

CANCELLATIONS: Cancellations must be received in writing and faxed to 310.416.9055 or emailed to info@cahrconference.org. Refunds will not be granted after 7/31/18 nor will they be given for no-shows. Credits will not be issued towards future PIHRA events. SUBSTITUTIONS: All substitutions must be submitted in writing and faxed to 310.416.9055 or emailed to info@cahrconference.org by 8/19/18 All other substitutions will be processed on-site at the registration booth. ONSITE REGISTRATION HOURS: Sunday 8/26 1:00pm – 5:00pm | Monday, 8/27 6:30am – 5:00pm | Tuesday, 8/28 6:30am – 5:00pm | Wednesday, 8/29 6:30am –12:30pm

HOW TO REGISTER 1. Register online at:

cahrconference.org/register

2. Fax your completed registrationform to: 310.416.9055

3. Mail your completed registrationform to:

California HR Conference 1515 W 190th St, Ste 530 Gardena, CA 90248

MAKE CHECKS PAYABLE TO PIHRA

SPECIALS & DISCOUNTSSave 15% when you register 3-5 attendees from the samecompany.Save 25% when you register 6 or more attendees from the same companyAll registrations and full payment must be completed at the same time with one method of payment

(as it appears on credit card bill)

Cardholder Signature

PRINT CLEARLY. USE ONE FORM FOR EACH REGISTRANT.

Name First Last M.I.

PIHRA MEMBER ID (if applicable)

CA SHRM Chapter Number (if applicable)

SHRM Chapter Number (if applicable)

HR Designation(s)

Title

Company/Organization

Address

City State Zip

Phone Fax

Email (required)

I wish to opt out of email communications from Conference Sponsors and Exhibitors including event invitations, conference-related contests, and special announcements. I understand I will be able to unsubscribe from email lists at any time.

PAYMENT INFORMATION P A YM E N T IS DU E A T TIM E O F R E G IS TR A TIO N [P IH R A Tax ID# 95-2222999]

I prefer to pay by check | Payable to PIHRA or I authorize PIHRA to charge my: VISA

Card # Exp. Date

Name

MASTERCARD AMEX DISCOVER

ATTENDEE REGISTRATION

or

Optional : Dietary Restrictions FreeDairy Free

Registration includes General Sessions, AM/PM Refreshment Breaks, Luncheons, Marketplace (Expo) Hall Access, Continuing Educations Sessions and the Tuesday Night Event

Please help us collect accurate attendee information by answering the following questions:

When did you last attend the California HR Conference

This is my 2-5 years1-2 years 5+ years

How did y ou hear about the California HR Conference

CA SHRM ChapterSHRM HR MagazinePIHRA Meeting/Event SHRM California Employment Previous Attendee Referred by a Friend Membership Renewal pihra.orgcahrconference.orgshrm.orgLinkedInFacebookTwitterSHRM EmailExhibitor/Sponsor Email

Please Identify your type of Business/Industry

Your Compa ny Size1-9 100-49910-49 500-99950-99 1000+

Does you r company have International operationsYes No

Purchasing r ole for HR products or servicesFinal DecisionReview and recommend Not Involved

Position that most closely matches yoursPresident/CEOSenior Vice President/Vice PresidentDirectorAssistant DirectorManagerCoordinatorAdministrator Other

Your Compa ny Revenue (in millions)Less than $10 $50-$99 $10-$24 $100+$25-$49

Ye ars in HR0-4 Years 10-14 Years5-9 Years 15+ Years

You r EducationHigh SchoolSome CollegeBachelor’s DegreeMaster’s DegreeDoctorateOther

Your Race /EthnicityAmerican Indian/Alaskan Native

IslanderBlack (not of Hispanic origin)HispanicWhiteOther

QUESTIONS?cahrconference.org

info@cahrconference.org 310.416.1210