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Membership Form

    Columbus Area Human Resource Association


    Columbus Area Human Resource Association

    SHRM (Society for Human Resource Management) Affiliate


    Year Runs from Jan. 1st, 2019 – Dec. 31st, 2019


    ____$25 – Membership fees (SHRM Members)

    ____ $50 – Membership fees (Non-SHRM Members)



    ____ $100 Pre-pay for Program Fees (January 1 – December 31, 2019)


    ____ I will pay at the door - $15 for program (CAHRA Members)


    ____ I am a member of SHRM.         My SHRM Membership ID #: _____________________



    Name :________________________________      

    Certifications (list all): ___________________

                   (Last,          MI,                 First)


    Company: __________________________             Title: __________________________________


    Mailing Address (work): _______________________________________________________


    Email (work): _____________________________________


    Phone (work): ______________________          FAX (work): ___________________________


    Indicate Committee Interest: (place an X in front of (or circle) all that apply):

    Membership     Social Media      Legislative     Scholarship       Programs       Professional Development



    Please remit a copy of this form with membership dues (if applicable) by February 15, 2019 to:


                                                         Attn: Membership Committee

    P.O. Box 23

    Columbus, NE  68602-0023


    If not received by 3/1/2019 we will assume you are not interested and will remove you from the membership list.

    Please note:  Memberships are individual and are non-transferrable.   Non-members are always welcome to attend a meeting. There will be a cost ($20) to attend which includes the program and meal, even if attending in place of a CAHRA member.