Personal Information
To complete your registration you MUST either pay with PayPal or send a check ( made out to OAS!) to: Dr. David Bass , Executive Secretary Treasurer, Oklahoma Academy of Science, University of Central Oklahoma, Campus Box 90, Edmond, OK 73034.
First Name:
*
Last Name:
*
School Affliation (if any):
Phone:
*
E-mail:
*
If you are a student, list Professor's or Teacher's name
Mailing Address
Department, Street or P.O. Box:
*
City:
*
State:
*
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip Code:
*
Fee Schedule
Registration
Registration: Includes non-refundable $5.00 insurance and administration fee
Regular Advance $12.00
Regular On Site $15.00
Student Advanced $8.00
Student On Site $10.00
Meals
Friday Dinner
None
Advanced $11.00
On Site $12.00
Saturday Breakfast
None
Advanced $7.00
On Site $8.00
Saturday Lunch
None
Advanced $8.00
On Site $9.00
Saturday Dinner
None
Advanced $11.00
On Site $12.00
Sunday Breakfast
None
Advanced $7.00
On Site $8.00
Special Dietary Needs
Prefer Vegetarian Meals
No
Yes
Cabins
These accommodations are rustic. Bathrooms and showers are located in a building separate from the bunkhouses. No linens are being furnished. Bring your own.
Friday Night
None
Male $5.00
Female $5.00
Saturday Night
None
Male $5.00
Female $5.00
Tenting Option (within the group camp): per person
Note: There are no cooking facilities for groups to do their own in the vicinity of the group camp. If you bring your own food, select the kind that doesn't need cooking. However cooking fires are permitted in other areas of the park nearby. If you choose this option you must pay your camping fees at the park office instead of remitting it with this form. If you want to participate in the field meeting activities, you will still be required to register with this form. You will not need to pay an additional tent lodging option fee to OAS.
Friday Night
None
$5.00
Saturday Night
None
$5.00
Payment (Cash, Check (made out to OAS) or PO Number)
If paying by cash, check or PO number; please fill in the total enclosed window, print this page, click the submit under the Total Enclosed box, and mail the printed copy with check (made out to OAS) to: Dr. David Bass, Executive Secretary Treasurer, Oklahoma Academy of Science, University of Central Oklahoma, Campus Box 90, Edmond, OK 73034. If paying using PayPal also check the correct radio buttons, click the submit button at the bottom of the page, and then follow the directions on the PayPal website site.
Payment Type
*
Check
School PO
PayPal
Contribution:
Total Enclosed:
*
Submit (Cash, Check or PO Number payment)
If paying by cash, check or PO number click above submit button. You still need to send your payment (checks made out to OAS) to Dr. David Bass at the address above to be registered for the meeting.
Payment (PayPal)
If paying by PayPal please list Attendee's Name
If paying by PayPal please list Name of Person paying (if different)
Meeting Fees (If Paying By PayPal, includes convenience fee) Paypal is not available for On Site Registration.
Regular Advanced Registration
$
15.00
USD
Regular Late Registration
$
18.00
USD
Student Advanced Registration
$
11.00
USD
Student Late Registration
$
13.00
USD
Friday Dinner Advanced
$
11.00
USD
Friday Dinner Late
$
12.00
USD
Saturday Breakfast Advanced
$
7.00
USD
Saturday Breakfast Late
$
8.00
USD
Saturday Lunch Advanced
$
8.00
USD
Saturday Lunch Late
$
9.00
USD
Saturday DInner Advanced
$
11.00
USD
Saturday Dinner Late
$
12.00
USD
Sunday Breakfast Advanced
$
7.00
USD
Sunday Breakfast Late
$
8.00
USD
Friday Cabin
$
5.00
USD
Saturday Cabin
$
5.00
USD
Friday Tent
$
5.00
USD
Saturday Tent
$
5.00
USD
Total:
$
0.00
USD
Submit (Paypal payment)
If paying by PayPal click the above submit button.
Should be Empty: