CONFIRMATION AND PAYMENT FORM Name* First Last Email Cell PhoneConsent I HAVE READ THROUGH THE SEMINAR WORKSHOP CALENDAR AND ASSIGNMENT SCHEDULE (ou.org/women/speaking2022, link to schedule on FAQ page) AND UNDERSTAND MY SEMINAR COMMITMENTS.ScheduleGroup coaching availabilityEach group will meet for two - 1.5 hour sessions. Please select at least 3 time slots. Please note that all times are listed for Eastern time zones. Select All Mondays 2/7 & 2/21, 12:00 - 1:30 PM EST Mondays 2/7 & 2/21, 5:30 - 7:00 PM EST Mondays 2/7 & 2/21, 8:30 - 10:00 PM EST Tuesdays 2/8 & 2/22, 11:30 AM - 1:00 PM EST Tuesdays 2/8 & 2/22, 7:30 - 9:00 PM EST Wednesdays 2/9 & 2/23, 4:00 - 5:30 PM EST Wednesdays 2/9 & 2/23, 8:00 - 9:30 PM EST Thursdays 2/10 & 2/24, 4:00 - 5:30 PM EST Thursdays 2/10 & 2/24, 8:30 - 10:00 PM EST PaymentArt of Speaking Advanced Seminar* Price: $350.00 Payment code (for subsidies or fee covered by employer)OU subsidy Price: $250.00 OU WI pay100 Price: $100.00 GPATS Price: $0.00 OU staff Price: $0.00 Payment for GPATS Price: $1,050.00 Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name