Home
87th IPMA-HR Eastern Region Training Forum, 2015
Start date : June 21, 2015
End date : June 24, 2015

First Name*:
Last Name*:
Email*:
Name for Badge*:
Agency/Organization*:
Job Title*:
Street Address 1*:
Street Address 2:
City*:
State*:
Zip*:
Work Phone (e.g. 5554441212)*:
Fax (e.g. 5554441212):
Cell Phone (e.g. 5554441212):
Check All That Apply:





Special Needs (Please provide any special dietary and/or special accommodation needs:
 
 
 
  *EVENT REGISTRATION OPTION
 
SrNoOptionSelectCost
73disabled334Full Conference – Early Bird (Deadline 5/15/2015)350.00
73disabled335Full Conference – Regular (5/15/2015 – 6/05/2015)375.00
73disabled336Full Conference – Late (On or after 6/06/2015)425.00
73disabled337Full Conference Exhibitor (Silver, Gold, or Platinum)0.00
73disabled338Mon., 6/22/15 and Tues., 6/23/15 (no evening meals or activities) 250.00
73disabled339One day Registration – Mon., 6/22/15 only (breakfast and breaks only)150.00
73disabled340One day Registration – Tues., 6/23/15 only (breakfast and breaks only)150.00
73disabled341One day Registration – Wed., 6/24/15 only (1/2 day and breakfast only)95.00

  ADDITIONAL OPTIONS

OptionHow manySelectCost
73disabled342Guest – Sunday Evening President’s Reception030.00
73disabled343Guest – Monday Evening Dinner/Event030.00
73disabled344Guest – Tuesday Evening Dinner/Dance Banquet085.00
 
                                                                                              Total    
 
  ADDITIONAL EVENTS AND ACTIVITIES
 
 RSVP FOR EVENTS AND ACTIVITIES

 
  *PAYMENT METHOD
 
Enter Name on Credit card* :
 
 
 PAYMENT TERMS

Credit Card*Credit card payments can only be accepted until June 15, 2015. You will be directed to Authorize.net, a secure Credit Card payment site.

Check – Make checks payable to: IPMA-HR WV Chapter

Voucher – Must be presented Day of Conference or late registration fee will apply.

Forward Check Payment to:
IPMA-HR West Virginia Chapter
c/o Ralph Glover
PO Box 5447
Charleston, WV 25361-5447

HOTEL INFORMATION

Contact Lakeview Resort, One Lakeview Drive, Morgantown, WV 26508 at 304-594-1111 or 800-624-8300

When making your room reservations, use code IPMA for your discount and our room block.  You may visit Lakeview Resort’s website for additional information at www.lakeviewresort.com .

Room rates:    Single - $89          Double - $99      Rates are good three (3) days before the conference and three (3) days after the conference.

 
 CANCELLATION TERMS
If a cancellation occurs on or before Friday, June 12, 2015, the amount paid, less a $25.00 Administrative Fee shall be refunded by the IPMA-HR West Virginia Chapter.  After June 12, 2015, the amount paid will be refunded less a $100.00 late charge.  Any refunds after the first event of the conference (Sunday, June 21, 2015 @6:00 pm) are at the discretion of the IPMA-HR West Virginia Chapter and the IPMA-HR Eastern Region.  All refunds will be issued approximately four weeks after the close of the conference.
 
TECHNOLOGY SUPPORT
If you have any problem in submitting the form, please contact [email protected].  
For any other questions, please contact [email protected].