Membership

Name:

Company:

Title:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Are you a new member? Yes No

Has this information changed since your last renewal? Yes No Don't Know

Are you a National Member? Yes No

National Member ID:

What committee would you be interested in serving on this year?
Awards Certification Legal Conference Community Relations Compensation/Benefits Diversity Job Bank Legislative Membership Non-Dues Revenue Programs/Professional Development Workplace/Life Balance

View a list of committees positions and their description.

Membership Type:
Local Member Only (not a National Member): $65.00
Local Member (already a National Member): $45.00
National Member ID
Local Member, New National Member: Dues Waived
National Member ID

Membership Fee (Total From Above):

Additional Donation to the SHRM Foundation:

Total Due To GPSHRM:

If you have any questions regarding membership, please contact Stephanie Mowrer at stephanie_mowrer@med3000.com

Please remit invoice and payment to:
GPSHRM
P.O. Box 12175
Pensacola, FL 32591-2175