Oklahoma Association on Higher Education and Disability

Spring 2010 Conference Registration for OK-AHEAD

1. New to OK-AHEAD Conference?

   yes
   no
   
   
2. Name
3. Job Title
4. Institution/
   Organization
5. Address
6. City
7. State
8. Zip
9. Phone
10. Email address
11. 
    
    Access Services

    Please identify accommodations you will need for the conference before April 2, 2010.

    Sign Language Interpreter
    FM amplification device
    Braille
    Large print
    Dietary needs (Please specify)
    
    Other (Please specify)
    
    
12. Registration

    Members -- $45
    Non-members -- $70
    Student/Parent -- $25
    

    On-site registration -- add $10

13. Pay by...

    PO#
    Check
    
    

When the form is submitted, a print option will display. The form results will also be sent to the OK-AHEAD Treasurer.