Presbyterian Health Foundation Conference Center
655 Research Parkway, Oklahoma City, Oklahoma
Sept. 29, 2017
8:30 a.m.-4 p.m.

Registration fee is $50 for faculty, $75 for administrators and $0 for students. (The conference is not intended for students, but there are some student presenters, and occasionally, some graduate student faculty attend.)
Registration deadline is Wednesday, Sept. 20, 2017, by 5 p.m.

You must be REGISTERED IN ADVANCE, and all monies must be PAID IN FULL on or before Friday, Sept. 29, 2017. Checks and purchase order will be accepted. We are unable to accept credit card payments for this conference.

Photos may be taken at this event and may be used in future promotional materials.

Lunch is provided. Special dietary or physical needs should be brought to the attention of Linda Mason at

Options marked with an * are required.

Billing Contact Name:

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* 1. Billing Contact Name:

Billing Contact Phone:

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* 2. Billing Contact Phone:

Billing Contact Email:

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* 3. Billing Contact Email:

Billing Contact Address:

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* 4. Billing Contact Address:

Billing Contact City:

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* 5. Billing Contact City:

Billing Contact Zip:

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* 7. Billing Contact Zip:

Attendee First Name:

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* 8. Attendee First Name:

Attendee Last Name:

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* 9. Attendee Last Name:

Attendee Job Title:

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* 10. Attendee Job Title:

Attendee Position:

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* 11. Attendee Position:

Attendee Department:

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* 12. Attendee Department:

Attendee Institution:

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* 13. Attendee Institution:

Attendee Email:

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* 14. Attendee Email:

Are you a DaVinci Institute member who will attend the DaVinci Fall Forum?

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* 15. Are you a DaVinci Institute member who will attend the DaVinci Fall Forum?

Method of Payment:

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* 16. Method of Payment:

Cancellation Policy and Refunds:

Currently, OSRHE does not accept credit cards.
The registration deadline is 5 p.m., Sept. 20, 2017.
Attendees are responsible for payment of the registration fee even if they do not attend the event, unless they cancel their registration, in writing, prior to Sept. 20, 2017.
This event allows for substitution of participants and provides for a 100 percent refund should the event be canceled by OSRHE.

Thank you for your registration.

Please make checks payable to OSRHE and mail to:

Linda Mason
Oklahoma State Regents for Higher Education
655 Research Parkway, Suite 200
Oklahoma City, OK 73104

Contact Linda Mason, or 405.225.9486, if you have any questions or need additional assistance.