Registration Form

Brock Symposium on Excellence in Education
The University of Oklahoma
April 4, 2008
OCCE Thurman J. White Forum
1704 Asp Ave
Norman, OK 73072

Register Online here
or mail to:
OU College of Liberal Studies
ATTN: Lura Hindman
1610 Asp Avenue, 108 McCarter Hall
Norman, OK 73072-6405
Phone (405) 325-3236 – Fax (405) 325-7132
lura@ou.edu

1. Limited seating is available and registration is encouraged by March 30, 2008.
2. Walk-up registrations will be considered on a first come basis.
3. Lunch will be provided to those who PRE-REGISTER.

Name:
Address:
City:
State:
Zip:
Email:
Telephone:
Organization:
Title:
	$15 per person I prefer a vegetarian meal
Payment Method	Check: Please make payable to University of Oklahoma, or provide alternate payment information below. Purchase Order P.O. Number: Institution: Accounting Contact:
The University of Oklahoma is committed to making its activities as accessible as possible. The university provides a range of special services to persons with disabilities. If you anticipate a need for some of these services, please indicate by checking this item. We will contact you for details.