conference reg form

REGISTRATION FORM
MANAGEMENT AND LEADERSHIP IN TRANSITION: CREATING THE BEST MULTIGENERATIONAL
DIVERSE WORKPLACE
®
25TH ANNUAL OKLAHOMA SOCIETY OF CERTIFIED PUBLIC MANAGERS PROFESSIONAL DEVELOPMENT CONFERENCE
FRIDAY, SEPTEMBER 11, 2015 * Marriott Conference Center at NCED
2801 EAST STATE HIGHWAY 9, NORMAN, OK 73071-1197, 405-447-9000
CONTINUING EDUCATION HOURS,
MANDATORY SUPERVISORY HOURS &
CERTIFIED PROCUREMENT OFFICER CREDIT
HOURS AVAILABLE
This year’s conference offers six hours of management and
professional development training, plus two hours of
Certified Procurement Officer training. With proof of
completion, the Oklahoma Office of Management &
Enterprise Services, HCM Division, Training & Development
Department will offer 0.6 hours of mandatory supervisory
credit. It qualifies for 0.6 CEUs accredited by Texas State
University. Certified Public Manager® candidates may
receive six hours of elective credit.
PARTICIPANT INFORMATION:
WHO SHOULD ATTEND?
This conference is targeted to
organizational leaders, managers,
supervisors, and employees desiring
professional development.
Please use a separate form for each registrant
Name:
First Name for Badge:
Agency Name:
Billing Address:
City/State:
Zip Code:
Daytime Phone:
Alternate Phone:
Fax:
Email:
THREE WAYS TO REGISTER:
Payments
Registration Fee
EMAIL your completed registration form with payment
information to: [email protected]
MAIL your completed registration form to:
OSCPM Conference Registration
Attn: Debbie Smith, CPM
300 Kellogg Drive, Norman, OK 73072-6401
FAX your completed registration form with payment
information to: Debbie Smith, CPM at (405) 325-0335
QUESTIONS?
Please call
Debbie Smith, CPM
(405) 325-8495
OSCPM FEI # 73 -1349560
$149.00
Check One:
Check Enclosed
Check No.
PO/PA Enclosed
PO/PA No.
PayPal
Tracking No.
PAYMENT INSTRUCTIONS:
Advance registration must be accompanied by payment in full. Please make checks payable to OSCPM.
Purchase orders will be accepted but must be sent with this registration form. Payment by PayPal is available
by going to www.oscpm.org. Please put PayPal tracking information in Payment Information Box (above and
to the right) and send in a print-out of this registration form. Additionally, all phone and emailed registrations
must be confirmed by a mailed form with a check or purchase order.
Do not write in this space Thank you
Personal Check:
Organizational Check:
PO/PA:
Amount Received:
Amount Due:
Date:
By: