Online Registration Form

13th Annual Partnership Conference  October 23-24, 2008

Registration Fee:  includes Luncheon

$90.00 before October 10, 2008 

$100.00 after October 10, 2008

You may pay for your registration using MasterCard, Visa, Discover, or Bank debit card.

 

 

Easy two-step process for registering for the OCOS Conference: 

 

1.  Please fill out the below registration form.  Please review the form.  If information is correct, click on Submit button. 

 

2.  The Registration Confirmation page will appear.  Click on Pay Now.  You will be led to the secure PayPal Gateway page.  You may pay for your registration using MasterCard, Visa, Discover, or Bank debit card.

 

First Name:

Last Name:

Organization:

Mailing Address:

City:

State - please select from drop-down box ------- USA ------- Alabama Alaska Arizona Arkansas Armed Forces Americas (exc.Canada) Armed Forces Eur, ME, Afr, CDN Armed Forces Pacific California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington (State) West Virginia Wisconsin Wyoming

Zip/Postal Code:

E-Mail:

Day Phone:

Evening Phone:

Fax:

Please review the form above carefully.  Click the Submit button to register for the Conference.