Connect to all OID News! Step 1 of 4 25% Event Date* Event Time*Number Attending*Primary Audience*Group or Organization*Insurance CE Requested? (speech must be 50 minutes in length for approval): Yes No Full Name*EmailPhone*(no dashes e.g. 5554443333) Event NameAddress*City*State*Zip Code:(no dashes e.g. 555554444)Special Directions to the Event:Contact Name at Event:*Contact Cell Phone Number at Event:*(no dashes e.g. 5554443333)Is the event open to the public?* Yes No Will a meal be served?* Yes No If the Commissioner is not available would another department representative be OK?* Yes No Please indicate the type of appearance requested:* Appearance Only Keynote Speaker Welcome Brief Remarks Drop by Exact Time of Speech:*7:00am7:15am7:30am7:45am8:00am8:15am8:30am8:45am9:00am9:15am9:30am9:45am10:00am10:15am10:30am10:45am11:00am11:15am11:30am11:45am12:00pm12:15pm12:30pm12:45pm1:00pm1:15pm1:30pm1:45pm2:00pm2:15pm2:30pm2:45pm3:00pm3:15pm3:30pm3:45pm4:00pm4:15pm4:30pm4:45pm5:00pm5:15pm5:30pm5:45pm6:00pm6:15pm6:30pm6:45pm7:00pm7:15pm7:30pm7:45pm8:00pmTime Allowed for Speech:*Please let us know what topics are of interest to your group: Health Care Fraud Consumers and General Insurance Issues About the Oklahoma Insurance Department Other, please list below Q&A Time:Will there be other Speakers?:Attire:*Is there an LCD Projector, Screen and Laptop Available?* Yes No Bio Requested? Yes No Photo Requested? Yes No Additional Information:
