Attendee Registration Form

Legal Update

Start date	:	December 05, 2019
End date	:	December 05, 2019

First Name*	:
Last Name*	:
Email*	:
Designation (IPMA-SCP, IPMA-CP, etc.)	:
Organization*	:
Title*	:
Phone*	:
State*	:
City*	:
Zip Code*	:

*EVENT REGISTRATION OPTION

		SrNo	Option	Select	Cost
3137	disabled	3629	Grand Canyon State IPMA-HR Member ($20.00)		20.00
3137	disabled	3630	Non Grand Canyon State IPMA-HR Member ($40.00)		40.00

Total

*PAYMENT METHOD

PayPalCheck

Enter Name on Credit card*

PAYMENT TERMS

Make payment to:

GCS IPMA-HR

City of Buckeye - HR

530 E Monroe Ave

Buckeye, AZ 85326

CANCELLATION TERMS