NOPA MEETING / EVENT REGISTRATION

Complete this form and click the "Submit" button at the bottom. Your registration will be e-mailed to the NOPA Secretary. Or, print this page, complete and fax it to AMY HARKINS AT 419-522-3303. Registration must be received at least 6 business days before the event. If you cannot meet this deadline you should call our Secretary, AMY HARKINS AT 419-522-4333 ext. 255, E-mail harkinsamy@yahoo.com.

THE ONLINE REGISTRATION INFORMATION SHOULD GO TO AMY HARKINS - HER PHONE AND EMAIL ADDRESS ARE AT THE BEGINNING OF THIS DOCUMENT. HER FAX NUMBER IS 419-522-3303.

Metting (Enter Date)   (Meeting only, NOPA members $10 WHO REGISTER AT LEAST SIX DAYS IN ADVANCE, guests AND LATE REGISTRANTS $12, payable at door)
Name (First, MI, Last)  
Professional Designation (SPHR, PHR,  etc.)  
Position Title  
Organization  
Business Address  
City, State, Zip  
 Business Phone    Include area code
E-mail  
Payment and Cancellation policy: Please bring the appropriate fee to the event with you. Make checks payable to North Central Ohio Personnel Association. If you need to cancel your reservation, please call or e-mail our Secretary, AMY HARKINS, Phone 419-522-4333, E-mail harkinsamy@yahoo.com. Failure to cancel at least three days prior to the event will result in charges being assessed.

STOP!
Please print and retain a copy of this form for your records 
before clicking the SUBMIT button below.