SHRM Primary Chapter Designation
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.
Please type or print:
Date _______________________
Name ______________________________________________________________________________
SHRM Member ID No._______________________ (You must be a current national member of the Society for Human Resource Management to complete this form.)
Organization/Company Name:
_____________________________________________________________________________
Address_______________________________________________________________________
City _______________________________________State______Zip______________________
Telephone_____________________________Cell_____________________________________
Fax___________________________Email___________________________________________
Signature______________________________________________________________________
(Member must sign to validate)
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.
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