Name: PHR: SPHR:
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: Student Member: $25.00 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 email john_pollock@us.aflac.com
Please remit invoice and payment to: GPSHRM P.O. Box 12175 Pensacola, FL 32591-2175
