Registration

Day Pass Registrations ONLY are currently available for Wednesday and Thursday.

Registrations after April 26 will not include ANY meals.

We are using the Square payment system this year, however, we can also accept PayPal if you’d rather pay that way. Just call or email us.  NOTE: Be sure to submit the registration form first before clicking on the links to the payment portal on the Square system. If you have any problems, contact us at 405.939.0573 and we will be glad to assist you in completing the form.

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Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Level of Vision *

• Sighted
• Legally Blind/Partially Sighted
• Totally Blind

Preferred Conference Program Format

• Braille
• Electronic
• Large Print

Preferred Method of Communication

• Phone
• Text
• Email
• Snail Mail

Birthdate

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Gender

• Male
• Female

Mobility

• White Cane
• Guide Dog
• Sighted Guide
• Wheelchair/Scooter

Allergies (especially food allergies) or other health issues

Cause of Blindness/Eye Disease

How did you hear about the conference?

I am interested in group transportation if possible. This may be a chartered bus/van and I understand this incurs an additional fee.

• Yes
• No

I am interested in Post-Conference activities on Friday (Branson Show, etc).

• Yes
• No

I need an assistive listening device.

• Yes
• No

I would like to order a conference t-shirt for $18. Adult sizes only (add $1 for 2XL, $2 for 3XL) choice. This will be invoiced seperately.

• Small
• Medium
• Large
• XL
• 2XL +$1
• 3XL +$2

Please note, clicking on the links below will open the Square payment portal in a new window. Please complete and submit your registration information first before going to the payment portal window and submitting your payment information.

Day Pass: $50

Good for one day only to visit the Exhibit Hall and attend Breakout Sessions. Does not include any meals or keynote speakers.

Gordon Mote Concert Ticket Only: $25

Begins at 7:30pm

 

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