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MEMBERSHIP APPLICATION - SHRM

New MEMBERSHIP MEMBERSHIP Renewal Ms. Mrs. Mr. Dr. Other Jr. Sr. Ed. JDFirst/Given NameNicknameMiddle Initial Last/Family NamePosition/Job TitleCompany NameCompany AddressCityState/ProvinceZIP/Postal CodeCountryPhoneFaxCompany EmailHome AddressCityState/ProvinceZIP/Postal CodeCountryPhone NumberFaxHome EmailSend Mail to: Home CompanyPreferred Email: Home CompanyAre you a member of a SHRM Chapter? If so, list the chapter name , city and state: Our member mailing address list is available to HR-related organizations.

☐ New Membership ☐ Membership Renewal ☐ Ms. ☐ Mrs. ☐ Mr. ☐ Dr. ☐ Other • ☐ Jr. ☐ Sr. ☐ Ph.D. ☐ Ed.☐ JD First/Given Name Nickname Middle Initial Last/Family Name ...

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