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SHRM membership application

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. By checking this box, your name will be removed from this list. Allow 3-4 weeks for application processing if mailed. Immediate membershipavailable at Full- or part-time students may be eligible for student membership more information, visit SHRM membership is nonrefundable and nontransferableMEMBERSHIP OPTIONS 1 year full membership ( or Outside )$229 2 years full membership ( or Outside )$413 1 year Global Online membership (Outside Only)$109 Automatically Renew My MembershipBy selecting automatic renewal, upon the expiration of your initial member-ship (1 or 2 years after your membership begins, based)

10R Generalist H 11 Administrative 34 16Administrator 12 17Benefits 13☐ Communications 14 Compensation 15 20Consultant–Independent 16onsultant–Multi-person Firm C

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