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2023: Sponsor Registration Form
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2023 TN Statewide Payroll Conference
Registration Form
2023 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: [CPP or FPC or None]
*
The Email Address you list below will be the Email Address you will use to login to our Conference App (WHOVA).
Email Address: [ this is the email address we will use for communication. Also, this email address, is your WHOVA app email address to use]
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This is the email address where you can be reached the majority of time
Employer: enter N/A if unemployed
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Job Title:
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Mailing Address:
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City:
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State
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Zip Code:
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Phone number: please use this format 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 American Payroll Association (APA)?
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YES
NO
APA 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: enter NONE if not a local member
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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: Local Chapter or APA National Member: $255.00
Registration Fee: [Non APA Chapter or National Member: $310.00
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, which is Payable upon receipt for your PAYMENT, sent to the email address to the person responsible for payment.
METHOD OF PAYMENT:
*
Credit Card (company or personal): Payable upon Receipt. Sent to the email of the person responsible for payment
Paper Check - (company or personal) - send check to the Statewide mailing address
Board Paid - contest winners, others approved by board
Provide the Email Address below of the person responsible for the payment.
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:
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YES - I have read & understand the CANCEL POLICY
When you click the Submit Button -
you will see your form submitted successfully
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