Author: mags7_000

OKAMA Spring 2017 Participant Registration
May 23, 2017

Please mail the conference registration to:
Payments made after March 25th —please make at the registration desk the morning of the conference.

Oklahoma Ambulance Association
2504 W. Owen K. Garriott #302
Enid, OK 73703

or

FAX to:
866-464-7799

Please Print
_______________________________________________________________________________________
Organization
______________________________________________________________________________________
Address
_______________________________________________________________________________________
Attendee Name and Title
_______________________________________________________________________________________
Attendee Name and Title
______________________________________________________________________________________
Attendee Name and Title
________________________________________________________________________________________
Attendee Name and Title
_________________________________________________________________________________________

Registration Fees:
First OKAMA Member/agency is free * -0-___
Additional persons, $25 each _______
Non-Member $100 1st person _______
Non-member additional persons, $50 ea _______
TOTAL DUE _______
(Members who pay $2,500 or > in dues– all participants are free)

OKAMA Spring 2017 Vendor Registration
May 23, 2017
Please fill out this form and fax to 1-866-464-7799 or scan and email to slathey@aol.com
Mail your check to:
OKAMA
2504 W Owen Garriott #302
Enid, OK 73703
Company______________________________________
Contact_______________________________________
Representative attending___________________________
Phone:________________Mobile:___________________
Email address:___________________________________
Special Information:__________________________________________
_________________________________________________________
We would like to sponsor:
( ) Lunch $500
( ) Morning break $250
( ) Afternoon break $250
Please contact Steve Athey for further information slathey@aol.com or 940-367-3280