Proceedings Order Form

(CD-ROM & BOUND COPY)
Please print this form.

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

Work Address_____________________________________________________

City______________________State_________County___________________

Zip Code__________________

Work Telephone #____________________ Fax #_______________________

E-mail ______________________________________

Please indicate your choice below:
                 p CD-Rom (1952-1987) @ $100.00 Qty.________
                 p CD Rom (1988-2006) @ $75.00 Qty._______
                 p Bound Proceedings @ $50.00 Qty._______ Year(s) Requested_____________

Method of payment: (US Funds Only)
                 p Check (PAYABLE to the OU Engineering & Geosciences)

                 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
University of Oklahoma
Engineering & Geosciences
1666 Cross Center Dr., Room #301
Norman, OK 73072-6400
Phone: 405.325.3136 Fax: 405.325.7329
bettyk@ou.edu

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