Presenter/Exhibitor Online Registration Form
Complete this form and submit electronically by clicking on the "Submit" button
below. The conference registration fee can be paid by credit card, check/money
order by mail, or purchase order. Please check payment method below. After
completing and submitting form, pay registration fee using your credit card by
clicking on the Pay Pal button below. You may preregister using this form when
sending payment by mail or paying on site. To receive early registration rate of
$30.00, payment must be postmarked by 11/12/10 (or you must preregister by this
date, if paying on site). Please indicate below that you are preregistering online and
mailing payment or paying on site. If you would like to register by mail, download and
complete Conference Registration Form.
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2010 Oklahoma Indian Child Welfare Conference
"Knowledge, Resources, and Culture: Keys to Building Strong Families and Nations"
Dates: November 18-19, 2010
Registration Fees: $30.00 ($45.00 after 11/12/10)
Cancellation: Refunds minus $10 administration fee will be made if written notice is
faxed or mailed on or before 11/12/10. Prepaid registrants unable to attend may
send another person in his/her place..
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Your name:
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Job Title:
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Agency/Organization
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Tribe/Tribal
Affiliation:
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Mailing Address:
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City/State/Zip
Code:
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Phone Number:
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Fax Number:
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Email Address:
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Comments:
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How will you pay registration fee? (Please Check One)
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By Credit Card (Use
PayPal)
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Check or Money Order By Mail
(Preregister)
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Purchase
Order
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PO #:
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Check or Money Order On Site
(Preregister)
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Please click Submit after completing fields. Submission is not
complete until you are directed to a confirmation web page screen. To
pay registration fee with a credit card, click on the PayPal button
located on the confirmation web page screen.
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