OKPSA March 2023 luncheon registration As OKPSA is transitioning to a new system, we’re temporarily using this form for luncheon registration. Enter your registration and payment information below. "*" indicates required fields Ticket* Nonmember Tickets - $55 Member Tickets - $40 Number of Attendees*12345678910Total Primary Attendee Name* First Last Primary Attendee Email* Primary Attendee Role / Title* Primary Attendee Cell Phone*Company Name* Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional AttendeesName of Attendee 2* First Last Email of Attendee 2* Role / Title of Attendee 2* Cell Phone of Attendee 2*Company Name of Attendee 2* Name of Attendee 3* First Last Email of Attendee 3* Role / Title of Attendee 3* Cell Phone of Attendee 3*Company Name of Attendee 3* Name of Attendee 4* First Last Email of Attendee 4* Role / Title of Attendee 4* Cell Phone of Attendee 4*Company Name of Attendee 4* Name of Attendee 5* First Last Email of Attendee 5* Role / Title of Attendee 5* Cell Phone of Attendee 5*Company Name of Attendee 5* Name of Attendee 6* First Last Email of Attendee 6* Role / Title of Attendee 6* Cell Phone of Attendee 6*Company Name of Attendee 6* Name of Attendee 7* First Last Email of Attendee 7* Role / Title of Attendee 7* Cell Phone of Attendee 7*Company Name of Attendee 7* Name of Attendee 8* First Last Email of Attendee 8* Role / Title of Attendee 8* Cell Phone of Attendee 8*Company Name of Attendee 8* Name of Attendee 9* First Last Email of Attendee 9* Cell Phone of Attendee 9*Company Name of Attendee 9* Name of Attendee 10* First Last Email of Attendee 10* Role / Title of Attendee 10* Cell Phone of Attendee 10*Company Name of Attendee 10* Payment InformationCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Total Also, sign me up for the Sandler Custom Growth Solutions Newsletter with sales, management, and leadership articles NameThis field is for validation purposes and should be left unchanged.