ENVIRONMENTAL LAW ENFORCEMENT OFFICER	
TRAINING REGISTRATION	
Kiamichi Technical Center, Poteau, OK	
April 16, 2013	
8:30 AM -- 4:30 PM	

To register, please fill in and save this form and send it as an email attachment to lynn.malley@okstate.edu.

Name: ______________________________________________

Organization: ________________________________________

Position: ____________________________________________

Address: ____________________________________________
		Street address		City		State	Zip

Email: ______________________________________________

Phone: _____________________________________________

If you have food restrictions, what are they?

The Registration Fee includes lunch and will be collected at the door.  The fee will be $10.00 if registration is received by March 31st, $15.00 if registration is received between April 1 and 10, and $20.00 if registration is received after April 10th.  Registration on site is allowed if space remains but no lunch is guaranteed. For additional information, please contact lynn.malley@okstate.edu.