OSPA Fall Conference 2003 - October 2
Conference Registration Fees
Category	Pre-Reg	On-Site
OSPA Member	70.00	90.00
Ospa Student Member	40.00	60.00
Non-Member	95.00	115.00
Please make Conference & Membership Registration check to OSPA - Amount enclosed $
Pre-registration by September 22 - Must include full payment by personal check, school warrant, money order, or pre-approved school/institution purchase order. $25 for cancellations after September 25. Refund for emergency no-show only, $25
Mail conference registration/membership to: OSPA P.O. Box 665 Jenks, OK 74037

OSPA Fall 2003 Conference Registration Form
This is the printable form for conference registration. Please fill in the following items, then press the Print button at the bottom of the form. To redo any of the items, you may replace what you entered for the item, or start over by pressing the Clear Form button at the bottom of this page. Fields marked with an asterisk * are required - enter NA if information is unavailable.
*Category	OSPA Paid Member     OSPA Student Paid Member     Non-Member
*First Name	*Last Name
*Position
*School/Agency
*Address1
Address2
*City	*State  *ZIP
*Home Phone	Work Phone
*Email