This form CANNOT be submitted online.
To ensure your privacy we are not allowing form submission online. You can complete the form online or use the PDF format. After completion print the form and fax to 405.733.7495.
ALL registrations need to be faxed to 405.733.7495
(First and last name)
*****
Registration
Forms
PDF Format
Adobe
Acrobat required.
*****
No Reservations after March 1st
Pre-registration required!
NO walk-ins.
(405)
733-7348
Call
the OSBDC for any additional
questions or to inquire about additional
resources please.
Rose State
College
Small Business Development Center
6420 SE 15th Street
Midwest City, OK 73110-2799
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
Veteran -Owned
Disabled Veteran
Service Connected Disabled Veteran
8(a) certified
Small Disadvantaged
NAICS Codes
(Must be 6 digit code)
Electricity Yes No (Limited Availability, First Come First Serve)
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Make Check or Money Orders payable to Rose State College. Registrations will be confirmed when payment is received. Registrations are transferable.
$100 (Table)
(Includes both days)
Check Money Order Purchase Order PO #
Visa Mastercard CC# Ex date
Authorized Signature: _____________________________________
After you have completed the form, print and sign it. Fax the form to 405.733.7495 Thank you!