Basic Labor and Employee Relations Training Registration Form

Name
Nickname for Badge
Title
Organization
Address
City ST Zip
Telephone Fax
E-mail
Special needs


Fill out appropriate amount below based on your SFLERP membership status.  If you submit a completed Membership Application with your Registration Form, you qualify to attend at the discounted member rate.

Course Title SFLERP Member Non-Member
Basic LR (Tue-Wed) $250 $335
Basic ER (Thu-Fri) $250 $335
Both Courses (Tue-Fri) $475 $595
Form of payment:
  Paying by P.O., T.A. or DD1556: Add $15; SFLERP FIN Number: 23-7283877
  Check payable to "SFLERP"
  Visa

MC
Card Number
Name on card
ExpDate
Telephone number of cardholder

Signature _________________________________________
    Enter Total Here :

Print & mail completed Registration Form by Friday, September 5, 2008, to:
SFLERP, PO Box 25112 , Arlington , VA 22202 or Fax to 703-685-1144.
Sorry, we cannot accept registrations via the Internet.
Cancellation Policy and Refunds
Full refunds (except for a $50 cancellation fee) will be issued if you cancel your registration in writing by Friday, September 5, 2008.  No refunds will be issued after that date and purchase orders and other forms will be invoiced.  Substitutions are permitted at any time but the member/non-member rate will apply. For more information, call 703-685-4130, or email to info@sflerp.org.