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;APO Box 791139 <br />FAX. +1-7D3-535-6490 <br />Ms. Tammy Donahue PHR <br />Baltimore, MD 21279-1139 USA <br />+1.703-548-3440 / 1-800-283-7476 (U.S. only) <br />SOCIETY FJR HUMAN TTY/TDD.+1-703-548-6999 <br />Federal Tax ID#' 34-0946453 <br />RESOURCE MA?JAG6V~EIJT <br />Human Resource Manager <br />City of Eugene/Public Works Department <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />Ilrlrrlrralflrrllllllltllllllllllllllllrrllrrlllrrrlltrrrrrlll <br />Update your member profile and <br />contact information online at <br />www.shrm.org/memberrecord <br />Renew your SHRM membership <br />online at www.shrm.org/renew <br />Total Due $ <br />To pay by wireimnsfer, please contact SHRM at 1-800-283-7476, opt 3 (U.S. only) or *1 (703) 548-3440, opt 3 for depository information. To ensure proper payment, you will also need to <br />fax this <br />form to the SHRM Accounting Department at +1 (703) 535-6473 along with a copy of your wire transfer paperwork <br />For U S. taxpayers SHRM" annual dues are not deductible as charitable cormbubons for federal income tax purposes but may be deductible as ordinary and necessary business expenses except <br />that, under IRC section 162(e1, 8% of the annual dues are not deductible. $55 of the annual dues fee is applied to HR Magazine.` SHRM membership is nonrefundable and nontransferable. <br />Remittance copy below. Please detach and return to SHRM with payment. pnoau Sep u,,,,„~e,~z <br />Society for Human Resource Management 00821293 - Ms. Tammv Donahue PHR <br />PO Box 791139 <br />Baltimore, 121279-1139 USA Order: # 9002949739 Reply by: 02/01/2010 <br />+1-703-548-3440 / 1-800.283-7476 (U.S. only) <br />Fax: +1 (703) 535-6490 <br />TTY/TDD: +1 (703) 548-6999 <br />Invoice Total $ 160.00 <br />Foundation Contribution (Optional) $ <br />Total Duc $ <br />Final Membership Invoice <br />Reference Portion-Please retain the top portion of this <br />invoice for your records. <br />Disregard this invoice if payment has been sent <br />ID 00821293 <br />Invoice: 9002949739 <br />Reply by 02/01/2010 <br />Membership Period: <br />02/01/2010 to 01/31/2011 <br />Current Membership Detail <br />Membership Category Annual Fee <br />SHRM - SHRM Professional Membership 160.00 <br />02/01/2010 to 01/31/2011 <br />Subtotal $-160.00 i <br />Optional Foundation Contribution $ <br />PAYMENT METHOD: <br />❑ Check enclosed (Payable to SHRM in US$) Check # <br />❑ Credit Card Payment: ❑ MasterCard ❑ Visa ❑ AMEX <br />Card <br />Name as it appears on Card: <br />SHRM <br />PO BOX 791139 <br />BALTIMORE, MD 21279.1139 <br />❑ Company <br />❑ Personal <br />_Exp. Date <br />Cardhokter Signature <br />Cardholder Daytime # <br />USA <br />FOR SHRM USE ONLY <br />Data Chapter' <br />Amount' Company. <br />❑ My address has changed, please see the reverse of this form. Personal <br />IMPORTANT THIS FORM WILL BE MACHINE READ. PLEASE NO STAPLES. DO NOT WRITE ON THE OCR SCAN LI NE BELOW. <br />00821293900294973900160005 <br />