Online Chapter Designation Form

SHRM Primary Chapter Designation
Chapter #0572
Chapter Name: DelMarVa SHRM

I hereby designate the above named chapter as my primary chapter for SHRM membership coding purposes. I understand that:

This in no way precludes membership in other chapters.

This allows SHRM to list my membership to this chapter for reporting purposes only.

The purpose of the Chapter Designation Form is to make sure that you have the opportunity to demonstrate your support of the DelMarVa SHRM by designating it as your local chapter. Designation of a local chapter is important because National SHRM provides monetary support to the local chapters. This helps us keep costs and dues at a minimum for our members. We request all National SHRM members complete this form.

Name

SHRM Member ID Number

(You must be a current national member of the SHRM to complete this form.)

Organization/Company Name:

Address

City

State

ZIP

Phone

Cell

Fax

E-Mail

Signature

(Member must sign to validate)

Enter Full Name

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Online Chapter Designation Form

Chapter #0572

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