"Registration Form for the 28th Annual Oklahoma Mine Health and Safety Conference" - Oklahoma

This Oklahoma-specific printable "Registration Form for the 28th Annual Oklahoma Mine Health and Safety Conference" is a part of the legal paperwork issued by the Oklahoma Department of Mines.

Download the up-to-date PDF by clicking the link below and mail it as per the guidelines provided by the department.

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Download "Registration Form for the 28th Annual Oklahoma Mine Health and Safety Conference" - Oklahoma

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Registration Form for the 28th Annual
Oklahoma Mine Health and Safety Conference
Sept. 24-26, 2019 • Osage Casino & Hotel in Tulsa, OK
Company Represented:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name of Conference Attendees:
Early Registration: June 1 - Aug. 23, 2019
Late Registration: Aug. 26 - Sept. 20, 2019
q
q
$185 per person - includes lunch (9/25) & banquet
$220 per person - includes lunch (9/25) & banquet
q
q
$155 per person - includes lunch (9/25), excludes banquet
$190 per person - includes lunch (9/25), excludes banquet
q
q
$40 per guest/spouse - banquet only
$60 per guest/spouse - banquet only
Onsite registration will cost $250, $220 or $65 depending on package selected.
Registration Fee of $
is enclosed for
person(s)
Guest Fee of $
is enclosed for
person(s)
Please make checks payable to Mine Health & Safety Conference.
For more information, contact:
Send completed registration form and payment to:
Chassey Kirk
Oklahoma Miner Training Institute
ckirk@eosc.edu
1301 W Main Street
918-465-1872
Wilburton, OK 74578
Registration Form for the 28th Annual
Oklahoma Mine Health and Safety Conference
Sept. 24-26, 2019 • Osage Casino & Hotel in Tulsa, OK
Company Represented:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name of Conference Attendees:
Early Registration: June 1 - Aug. 23, 2019
Late Registration: Aug. 26 - Sept. 20, 2019
q
q
$185 per person - includes lunch (9/25) & banquet
$220 per person - includes lunch (9/25) & banquet
q
q
$155 per person - includes lunch (9/25), excludes banquet
$190 per person - includes lunch (9/25), excludes banquet
q
q
$40 per guest/spouse - banquet only
$60 per guest/spouse - banquet only
Onsite registration will cost $250, $220 or $65 depending on package selected.
Registration Fee of $
is enclosed for
person(s)
Guest Fee of $
is enclosed for
person(s)
Please make checks payable to Mine Health & Safety Conference.
For more information, contact:
Send completed registration form and payment to:
Chassey Kirk
Oklahoma Miner Training Institute
ckirk@eosc.edu
1301 W Main Street
918-465-1872
Wilburton, OK 74578
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