Spring Education
First Name:
*
Last Name:
*
Discipline
OTR
COTA
Student
PT
PTA
E-mail:
*
Phone:
Cell Phone:
Address:
City:
State:
Zip:
Where will you attend the conference:
OKC
Tulsa
Conference Fees:
*
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next
( X )
OOTA/OPTA Members
$90.00
$
90.00
Student Members
$15.00
$
15.00
OOTA/OPTA Non-Members
$100.00
$
100.00
Student Non-Members
$25.00
$
25.00
Total
$0.00
$
0.00
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