Expo Registration Form

To register, print out this form, complete the information below and mail with payment to OKAEE (FEI #73-1529225) or purchase order number to:

OKAEE EE Expo P.O. Box 2382 Stillwater, OK 74076-2382	Registration includes lunch if postmarked before January 19th, no exceptions. Add late fee of $10.00 if mailed after January 19th; no lunch will be available. ___non-vegetarian ___vegetarian ___other________
Registration Fees: Non-Member $30.00 Member $25.00 Full Time Student $15.00	Check Track you plan to attend: ___Track One: Greening Your Backyard ___Track Two: Greening Your Workplace ___Track Three: Greening Your Campus ___Track Four: Greening Your Curriculum

Name

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School/Organization

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Address

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City/Zip

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AC/Phone (home)

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AC/Phone (work)

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E-mail address (IMPORTANT!)

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