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so PO Box 7111I 1311 <br />Baltimore, MD 2 <br />1-60 an Hlu I +1-703-548-344 <br />FAX: +1-703-535 <br />SOCIETY FOR HUMAN m e,alDD:+1-7D <br />RESOURCE MANAGEMENT Fedr Tax ID# <br />Ms. Della Diller PHR <br />Human Resource Generalist <br />1279-1139 USA <br />0 / 1-800.283-7476 (U.S. only) <br />6490 <br />3-5486999 <br />34-0948453 <br />City Of Eugene/Public Works Department <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />IlthrLtrLInIIIttt1ff11111111111111111111111111111111111111 <br />Reply by 02/01/2010 <br />Membership Period: <br />02/01/2010 to 01/31/2011 <br />Current MembershiD Detail <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 win transfer, pleas contact SHRM et 1-600.263.7476, opt. 3 (US. only) or +1 (703) 5411-3440, apt. 3 for dawartory information. To ensure Proper payment you will also need to <br />fax this <br />form to the SHRM Amounting Department at +1 (703) 535.6473 along wM a copy of your wim transfer paperwork. <br />For US taxpayers SHRM' annual dues are not deductible as charitable contnbutlons for federal income tax purposes but may be deductible as ordinary and necessary business expenses except <br />that under IRC section 162(.), 8% of the annual dues are not deductible. $55 of the annual dues fee is applied to HR Magax/ne.' SHRM membership is nonrefundable and nontransferable. <br />Remittance copy below. Please detach and return to SHRM with payment ae mIs-Rap Mom <br />Society for Human Resource Management 00821292 - Ms. Della Diller PHR <br />PO Box 791139 <br />Baltimore, MD 21279-1139 USA Order # 9002951097 Reply by: 02/01/2010 <br />+1-703-548-3440 / 1-800-283.7476 (U.S. only) <br />Fax: +1 (703) 535-6490 PAYMENT METHOD: ❑ Company <br />TTY/TDD:+1 (703) 548-6999 ❑ Check enclosed (Payable to SHRM In US$) Check # ❑'Personal <br />❑ Credd Card Payment: ❑ MasterCard ❑ Visa 0 AMEX <br />Card Exp. Date: <br />Invoice Total $ 160.00 <br />Name as It appears on Card: <br />Foundation Contribution (Optional) $ SHRM Cardholdar Signature <br />PO BOX 791139 <br />Total Due $ BALTIMORE, MD 21279.1139 Cwdholdar Daytime <br />USA <br />FOR SHRM USE ONLY <br />Date: 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 U NE BELOW. <br />00821292900295109700160006 <br />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:00821292 <br />Invoice: 9002951097 <br />Membership Category Mutual Fee <br />SHRM - SHRM Professional Membership 160.00 <br />02/01/2010 to 01/31/2011 <br />Subtotal S 160.00 <br />Optional Foundation Contribution $ <br />