

| Oklahoma Indian Child Welfare Association, Incorporated |
| OICWA |
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| OKLAHOMA INDIAN CHILD WELFARE ASSOCIATION, INC. P.O. Box 1274 Shawnee, OK 74802-1274 oicwa@yahoo.com |

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| "Promoting the well-being of American Indian children, their families, and their tribes" OICWA |
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| OICWA Member: Non-Member: Group (4+): Presenter/Exhibitor: Foster Parent/Student: |
| $ 50.00 $ 75.00 $ 60.00 each $ 30.00 $ 30.00 |
| $ 65.00 $ 90.00 $ 75.00 each $ 45.00 $ 45.00 |
| Before 10/29/10 After 10/29/10 |
| OICWA P.O. Box 1274 Shawnee, OK 74802-1274 |
| 918-287-5231 Attn: Melody Kirk |