2019 ODSA Spring Conference Registration
100 E 2nd St
Tulsa, OK 74103
First Name/Last Name
Educational Opportunity Center
Veterans Upward Bound
Upward Bound Math/Science
Student Support Services
Are you an alumnus of TRIO?
Are you a newcomer (Start date after April 1, 2018 or attending first ODSA conference)?
City, State, Zip
NOTE: If you are paying with a credit card and would like to pay in advance, please call Jessica Nelson with your card information. Jessica can be reached at 405-736-0377. Thank you!
If PO number has not yet been assigned, you may enter PENDING in the box. ODSA Tax ID: 73-1086249. Please verify mailing address for payment information in your system: Jessica Nelson, TRIO Talent Search, Rose State College, 6420 SE 15th Street, Midwest City, OK 73110.
E-mail Address for Invoice
Membership dues are $35 and cannot be paid from program funds. Membership dues must be paid no later than March 27, 2019.
Early Bird ($225)
ODSA Service Awards
Must have been an ODSA member in good standing for every year.
3 Year Service Award (ODSA Member beginning 3/1/2016 - 2/28/2017)
5 Year Service Award (ODSA Member beginning 3/1/2014 – 2/28/2015)
10 Year Service Award (ODSA Member beginning 3/1/2009 – 2/28/2010)
15 Year Service Award (ODSA Member beginning 3/1/2004 – 2/28/2005)
20 Year Service Award (ODSA Member beginning 3/1/1999 – 2/28/2000)
25 Year Service Award (ODSA Member beginning 3/1/1994 – 2/28/1995)
30 Year Service Award (ODSA Member beginning 3/1/1989 – 2/29/1990)
35 Year Service Award (ODSA Member beginning 3/1/1984 – 2/28/1985)
40 Year Service Award (ODSA Member beginning 3/1/1979 – 2/28/1980)
Do you have any special dietary needs?
i.e., vegetarian, gluten-free, etc.)
ODSA Refund Policy
ODSA will issue registration refunds for the Annual Conference, Fall Summit, and other events according to the following guidelines: All requests for refund must be in writing (e-mail) and directed to ODSA Treasurer. Full refunds will be made if written request received at least 30 days prior to the event. A refund of 50% of registration will be made if written request received at least 2 weeks prior to the event. Any refund requests received less than 2 weeks prior to the event seeking partial or full refund due to special circumstances (family emergency, illness, weather) must be approved by ODSA Board at the next scheduled ODSA Board meeting. Registration may be transferred if requested in writing to the ODSA Treasurer no less than 2 weeks before the event. There will be no refunds given for ODSA Membership dues or personal donations
I have read the ODSA Refund Policy
A copy of your responses will be emailed to the address you provided.
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