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2022: Sponsor Registration Form
ATTENDEES
2022_Attendee REGISTRATION FORM
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2022 Speakers
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DIAMOND Multi-Year Sponsors
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2020 DIAMOND Sponsor
2021 TN Statewide Payroll Conference
Registration Form
2021 TSPCapa Registration Form
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Indicates required field
APA National /RCH Policy: I understand that I will be given 1 RCH per Breakout Session and I MUST stay in the Session the entire time.
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YES, I understand this RCH policy and to attend the sessions the entire time.
Date Registration Submitted: ( mn/day/year )
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Name
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First
Last
Certifications:
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Primary Email:
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This is the email address where you can be reached the majority of time
Secondary Email: used if your Primary fails
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Job Title:
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Employer: enter N/A if unemployed
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Primary Mailing Address:
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City:
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State
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Zip Code:
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Phone Number: sample - 000-000-0000
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Fax Number: enter NONE if you do not have a fax number
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NATIONAL & LOCAL CHAPTER Memberships
Are You a Member of the National American Payroll Association (APA)?
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YES
NO
APA National Membership Number:
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Are You a Current Member of a LOCAL APA Chapter?
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YES - I am a Current Member
No - I am not a local chapter member
I am a Current Member of this Local APA Chapter: subject to membership verification
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INFORMATION for the CONFERENCE:
Is this your 1st TN Statewide Payroll Conference
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YES
NO
I will be attending the Wednesday Night "Meet & Greet" after the Opening Session, the Opening Session counts as 1 RCH credit (must attend to receive)??
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YES
NO
I will be Attending the Thursday Night Dinner & Entertainment? we order our Food based on your response and we hope not to have wasted food (included in your Conference Cost)
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YES
NO
CONFERENCE COSTS:
Conference Cost(s):
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Local Chapter Member and/or APA Member: $225.00
Local Chapter Member and/or APAMember - LATE Cost after May 31, 2020: $250.00
Not a Local Chapter or APA member: $290.00
Not a Local Chapter or APA member LATE Cost after May 31, 2020: $310.00
No Cost - fee paid by the Board - contest winners, etc
Will you be bringing Guests? (a guest is your personal invite and will not be attending all the Conference) If YES and you want them to eat lunch with you it is $40 per lunch for them, if you want them to attend the Thursday night entertainment it is $80. These costs can be paid at the registration desk.
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YES - I will be bringing a guest
NO
PAYMENT OPTIONS:
If you are
Paying with a Credit Card
(personal or company) YOU will RECEIVE an INVOICE for your PAYMENT sent to your PRIMARY EMAIL that you listed on the Registration Form.
We now have an ACH option and if you choose that option you will be sent an invoice if you use the ACH you will not need to send us a physical check.
METHOD OF PAYMENT:
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Credit Card (company or personal): email will be sent with a LINK for Payment)
ACH (company or personal): email will be sent with a LINK for Payment)
Paper Check - (company or personal) - will mail to Statewide P.O. Box
Board Paid - contest winners, others approved by board
Email Address that you want to use for the Credit Card or ACH Payment
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Do You Need a RECEIPT for REIMBURSEMENT?
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YES
NO
POLICIES & Specific Information
CANCELLATION POLICY:
The TN Statewide Payroll Conference
WILL NOT
honor cancellations.
NO REFUNDS of registration fees & Registrations cannot be carried over to the next year.
Participant substitutions -
if your Company paid for the Registration you may have a substitution for your registration from your Company Only.
If You paid for the registration (personal)
you may have a substitution of your choice for the Registration
.
All Substitution Requests MUST be submitted to the TSWB - send to: tspcapa@gmail.com
I have READ & UNDERSTAND the Cancel Policy of the TSPCapa:
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YES - I have read & understand the CANCEL POLICY
Internet Connection:
I understand that if the
Hotel DOES NOT PROVIDE Hotel wide Complimentary Internet
Service that I am responsible for providing my own internet connection (hot spot) or pay the Hotel for their service. The
TSWB IS NOT responsible
for Internet Connections.
Internet Connection: I understand and accept my responsibility to Provide my own Internet:
*
YES - I accept Internet is My Responsibility
Attendee List: Do we have Your Permission to List your Name on the Attendee List?
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YES, you can include my Name
NO, please do not list
When you click the Submit Button -
you will see your form submitted successfully
Submit