Proceedings Order Form

Please print this form.

Mr. Ms. Dr._______________________________________________________
                     Last                                 First                        M.I.
Organization______________________________________________________

Work Address_____________________________________________________
(Unable to deliver to a P.O. Box for International Orders)

City______________________State_________County___________________

Zip Code__________________

Work Telephone #____________________ Fax #_______________________

E-mail ______________________________________

Please indicate your choice below:
      p CD-Rom (1951-1987) @ $150.00 Qty.________ (plus S&H *)
      p CD Rom (1988-2012) @ $100.00 Qty._______ (plus S&H *)
     

Shipping & handling:
Orders within the continental U.S. - $5.00 each
International orders - $45.00

Method of payment: (US Funds Only)
                 p Check (PAYABLE to the University of Oklahoma Foundation)
                 p Visa
                 p MasterCard                  
                 p Discover
                 p American Express Exp. Date

     Credit Card # _________ _________ _________ _________

Expiration Date ________________

To order by mail, return this form with payment to:

Betty Kettman, Director
University of Oklahoma
Engineering & Geosciences
300 Kellogg Dr., room 134
Norman, OK 73072-6400
Phone: 405.325.3891 Fax: 405.325.7329
bettyk@ou.edu

Proceeds from the sale of proceedings go towards the LRGCC Scholarship Fund.