March
4th |
2008
Procurement Conference Registration Form |
March
5th |
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Register Today! |
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ALL registrations need to be faxed to 405.733.7495 |
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This form CANNOT be submitted online. Complete all of the information below. Submit the form by Fax. Each Attendee must complete an individual form! |
***** No Reservations after March 1st Pre-registration required!
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Contact Name |
(First and last name) |
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Company |
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Address |
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City |
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State |
(i.e. OK) |
Zip Code | ||||||||||
Phone |
Fax | |||||||||||
Email |
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**View the Conference Agenda ** |
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Payment
Method (Please Check One) Make Check or Money Orders payable to Rose State College. Registrations will be confirmed when payment is received. Registrations are transferable. |
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Check
Money Order
Purchase Order PO #
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If your payment includes more than one attendee, please list the additional attendee's first and last names below. Attendee Name Attendee Name Attendee Name Attendee Name |
Security Precautions We will have military and public officials present at this event. Security must be a consideration. Again, please provide names and contact information for each person that will be attending the event from your organization. Photo ID will be required. | |||||||||||
| Amount Paid $ | NO REFUNDS after March 1st |
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Authorized Signature: _______________________________ After you have completed the form, print and sign it. Fax the form to 405.733.7495 Thank you! |
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