Registrations

Name	Email	Phone	Organization	Are you with a library system?	System Name	City	State	Class	Entry Date	Entry ID	User	User IP
Amber Parrow	amber@eletelephant.com	(405) 740-1034	Eletelephant	No		Mustang	OK	Cancer Information Inside and Out	26/08/2019 09:57 PM	8	kd5yqu	689.715.867,00
Name	Email	Phone	Organization	Are you with a library system?	System Name	City	State	Class	Entry Date	Entry ID	User	User IP

Name*
First Last
Title / Organization*
Email*
Phone*
Which OKHIS class are you interested in?*
- Cancer Information Inside and Out
- Drug Information Resources for Consumers
- A class on a specific topic
Topic:*
Who will be the audience?*
Who will be the audience?*
Please select the date you would like to schedule*
MM slash DD slash YYYY

Format date as: (mm/dd/yyyy)
Please select the time you would like to schedule*

: Hours

Minutes
Where will the class be held?*
How many attendees do you anticipate?*
Do you have a hands-on computer space in which to host the class?*
- Yes, we have computers for the class
- No, please bring computers for students
How many computers (8 max) would you like us to provide?*
CAPTCHA

Class Registration