PERS Seminar/Session Registration Form
Complete the form below to register for the Full-Day Seminars Wednesday, August 28, 2019, in Senatobia.
A confirmation page will be provided after you click the "Register" button.
* Required field
Last Four Digits of Your Social Security Number
Planned Retirement Date
Combined Unused Personal and Medical Leave
Terms as Elected Official (If applicable)
Guest/Spouse Name (If applicable)
If guest/spouse is a PERS member, register separately to ensure receipt of estimate.