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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. On-site payment of registration fee will be available. 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. If you would like to register by
mail or fax, download and complete Conference Registration Form.
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If you are a workshop presenter and plan to attend the conference, please register upon
notification of selection. Click here to register.
2010 Oklahoma Indian Child Welfare Conference
"Knowledge, Resources, and Culture: Keys to Building Strong Families and Nations"
Dates: November 18-19, 2010
Registration Fees: $75.00 ($100.00 after 10/29/10); Group of 4 or more: $60.00 each
Cancellation: Fees will be refunded if written notice is received by the Oklahoma Indian
Child Welfare Association up to one week prior to conference.
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Your name:
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Job Title:
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Agency/Organization/
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?
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By Credit Card (Pay Below)
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Check or Money Order By Mail
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Purchase Order
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On Site
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After submitting registration form, to pay registration fee with a credit card,
click on the PayPal button below. Pay Pal is a secure payment method and
does not share any financial information.
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