2017 CTEEC Conference Registration Form

Name

Title

Employer

Employer Address: Include the entire address including City, State and Zip

Cell Phone

Email

Are you an ACTE Member? If YES add Membership Number below

Yes No

ACTE Membership Number

First Time Conference Attendee?

Yes‎ No‎

Registration Type

Payment Method
If you use a credit card there will be a 2.75% processing fee per registration added to your total.

Check # or Purchase Order #

-----Make check or PO payable to CTEEC and mail to: Terri Grusendorf, Metro Technology Center, 1901 Springlake Drive, Oklahoma City, OK 73111 ---
CTEEC EIN #473055657

If you want to use a credit card, please contact Terri Grusendorf at 405-595-4315 to give her your cc information.

Special Accommodations?