Click Here to view the Call to Conference Name* First Last Email* Phone*Professional Affiliation (School District, Organization, Tribe, etc)*Are you affiliated with a tribe?*YesNoTribal Affiliation*Absentee-Shawnee Tribe of IndiansAlabama-Quassarte Tribal TownApache Tribe of OklahomaCaddo Nation of OklahomaCherokee NationCheyenne and Arapaho TribesChickasaw NationChoctaw Nation of OklahomaCitizen Potawatomi NationComanche NationDelaware NationDelaware Tribe of IndiansEastern Shawnee Tribe of OklahomaEuchee (Yuchi) Tribe of IndiansFort Sill Apache TribeIowa Tribe of OklahomaKaw NationKialegee Tribal TownKickapoo Tribe of OklahomaKiowa Tribe of OklahomaMiami Tribe of OklahomaModoc Tribe of OklahomaMuscogee (Creek) NationOsage Nation[nb 2]Otoe-Missouria Tribe of IndiansOttawa Tribe of OklahomaPawnee Nation of OklahomaPeoria Tribe of Indians of OklahomaPonca Tribe of Indians of OklahomaQuapaw Tribe of IndiansSac and Fox NationSeminole Nation of OklahomaSeneca-Cayuga NationShawnee TribeThlopthlocco Tribal TownTonkawa Tribe of Indians of OklahomaUnited Keetoowah Band of Cherokee IndiansWichita and Affiliated TribesWyandotte NationOtherIf "Other" Please enter your Tribal Affiliation belowOrganization*Please enter your organization below.I am attending the conference as*Tribal Education Department StaffIndian Education Department StaffState Department of Education StaffParent Committee MemberEducatorStudentOtherIf Other please enter below.*School Name*OCIE Quadrant*NorthwestNortheastSouthwestSoutheastNot applicable How will you be paying?*Credit CardPurchase OrderCheckRegular Registration Price: $ 35.00 Student Registration Price: $ 20.00 OCIE Board Member Price: $ 0.00 Purchase Order processing fee Price: $ 25.00 Purchase Orders can be emailed to [email protected] or mailed to PO Box 2217, Sapulpa, 74067Checks can be mailed to PO Box 2217, Sapulpa, 74067Purchase Order Number*If you have a copy of the purchase order, you can upload it here.Accepted file types: jpg, gif, png, pdf. Credit Card processing fee Price: $ 3.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name Total $ 0.00
