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2022 TN Statewide Payroll Conference Virtual
Registration Form
2022 TSPCapa Registration Form
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Indicates required field
Date Registration Submitted: ( mn/day/year )
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APA National /RCH Policy: I understand that I will be given One 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.
Name
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First
Last
Certifications:
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Primary Email: [ this is the email address we will use to send out all information
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This is the email address where you can be reached the majority of time
Secondary Email: [this is a backup email address in case your Primary fails}
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Employer/Company: enter N/A if unemployed
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Job Title/Position:
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Street Address: [Company or Personal]
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City:
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State
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Zip Code:
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Phone #: 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 of a Local APA Chapter
No - I am not a local chapter member of a APA chapter
Name of your Local APA Chapter: [do not enter YOUR name only the Chapter Name] subject to membership verification
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Is this your 1st TN Statewide Payroll Conference
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YES
NO
CONFERENCE COSTS:
Conference Cost(s):
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Registration Fee [APA Chapter or APA National Member: $240.00
Registration Fee: [Non APA Chapter or National Member: $305.00
No Cost - fee paid by the Board - contest winners, etc
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:
*
Credit Card (company or personal): email will be sent with a LINK for Payment)
Paper Check - (company or personal) - will mail to Statewide Board Address
Board Paid - contest winners, others approved by board
Email Address that you want to use for the Credit Card Payment
*
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:
*
YES - I have read & understand the CANCEL POLICY
When you click the Submit Button -
you will see your form submitted successfully
Submit