15th Annual Oklahoma Turning Point and Conference and Fourth Annual Policy Day

STEP 1 -- Registration Information

The Oklahoma Turning Point Council is pleased to invite you to the 15th Annual Turning Point Conference and Fourth Annual Policy Day. “Community Partners Creating Health in Every County” will be held at the University of Central Oklahoma, Nigh University Center, Edmond, OK September 11-12. We hope that you will join us as we discuss new and innovative ideas, collaborate with state and community partners, and work toward making Oklahoma's communities healthy! If you prefer to register and pay via regular mail, print the this registration form and send to: Public Health Institute of Oklahoma, P.O. Box 60926, Oklahoma City, OK 73146-0926. We look forward to seeing you September 11-12, 2012 at the University of Central Oklahoma, Nigh University Center, Edmond, OK.

Name
Affiliation
Address
City
State
Zip Code
E-mail
Telephone
Fax

Please indicate your general membership category:

Community Organization

Statewide Organization

Member-at-Large

Turning Point Partner Community (please specify)

Community Name

Please indicate the stakeholder group you represent:

Political

Business Economic

Health

Religious

Recreational

Communications

Education

Voluntary

Social Welfare/Non-Profit

Other (Please specify)

Other Stakeholder

Special Accommodations Needed?

No

Yes

If yes, specify:

NOTE: The registration fee this year is $40.00 or $60.00 at the door. After clicking the Submit button, you will be taken to a payment page, where you can pay via credit card to the Public Health Institute of Oklahoma. Or, you may write a check, money order, or agency purchase order payable to the Public Health Institute of Oklahoma, P.O. Box 60926 Oklahoma City, OK 73146-0926, fax: (405) 271-1225. Your registration will not be complete until you submit your payment.