4th Annual Tennessee Statewide Payroll Conference
hosted by: Greater Nashville Chapter (GNC) of the APA

August 10 - 12, 2011

****please note: if you are NOT a member of the Greater Nashville Chapter - you must pay the Non-Member cost.
Early Bird Registration
Present to June 22, 2011
GNC Members: $195
Non-GNC attendees: $220		 Regular Registration
June 23 to July 23, 2011
GNC Members: $220
Non-GNC attendees: $245
 Late Registration
All after July 23, 2011
GNC Members: $270
Non-GNC attendees: $295

Conference registration fee includes meeting materials, lunch and refreshment breaks on Thursday and Friday and special Thursday night dinner and entertainment). The Statewide Conference reserves the right to limit enrollment to insure that stated objectives are achieved. You will receive a confirmation of your registration upon submission of this registration form and applicable registration fees.

Attendee Registration Form
Complete the entire form or the form will not submit
Your Full Name:
Your Title:
Your Company Name:
Your Mailing Address:
City / State / Zip:
Contact Phone Number:
Fax Number:
E-Mail address:
Certification(s) please list all:
APA Chapter Name:
SPOUSE / GUEST NAME:
*I will be there on Wed. night and attend the welcome reception:  YES:
Workshops / Sessions:  Make one selection per session
Workshop Session 1:
THE LOCATION--SURVEY YOUR SURROUNDINGS
Thur Aug. 11, 2011 10:00am to 11:15am
Please select ONE of the three options:
Workshop Session 2:
KNOW YOUR TRIBE
Thur Aug. 11, 2011 2:15pm to 3:30pm
Please select ONE of the three options:		 a:                  
b: Larry White: "Garnishments-Beyond Child Support"
c:
Workshop Session 3:
SECRET ALLIANCE
Thur Aug. 11, 2011 3:45pm to 5:00pm
Please select One of the three options:
Workshop Session 4:
THE MERGER--STRENGTHHEN YOUR ALLIANCE
Friday Aug. 12, 2011 8:00am to 9:15am
Please select ONE of the three options:		 Aeron Lucas: "Trends in Healthcare"
Workshop Session 5:
IMMUNITY IDOL--SURVIVAL TIPS & TRICKS
Friday Aug. 12, 2011 9:30am to 10:45am
Please select ONE of the three options:		 a: Patti Jemes: "HR Related"
b: Derrell Payne: "Retirement Benefits"
c:
Workshop Session 6:
TRIBAL COUNCIL
Friday Aug. 12, 2011 1:15pm to 2:30pm
Please select ONE of the three options:		 a: Kimberly Shoop: "State Taxation"
b: Larry Phillips: "Money: Past, Present, & Future"
c:

 
Registration Fee: "A"
Dinner/Entertainment: ($50 per additional person): "B"
Total for A & B:

Do you have any Special Dietary Needs?
Payment Method:

I will send a Check or Money Order

I will bring a Check to the Conference

Make Checks Payable to:
GNCAPA
send to: TN Payroll Conference, P.O. Box 292937, Nashville, TN 37229-2937

Cancellation Policy:
The TN Statewide Payroll Conference will not honor cancellations.  Participant substitutions may be requested by contacting: