OCDLA
Oklahoma Criminal Defense Lawyers Association
OKLAHOMA CRIMINAL DEFENSE LAWYERS ASSOCIATION
2010 NEW MEMBER APPLICLANTName:__________________________________________________________OBA#________________
Address:_____________________________________________________________________________
City:__________________________ State:_______________ Zip:________ County:_______________
Telephone: (____)____________________ Fax Number: (____)________________________________
**E-Mail Address:_____________________________________________________________________
**You will receive your copy of the “Gauntlet” and Hot Sheets by this email.
To receive these publications in printed form there is a $15.00 yearly fee.
I would like my materials in printed form: yes □ no □
If you do not have a Membership Certificate, or if you would like a replacement Certificate, please provide the following information.
Name as you wish it to appear on the Certificate:
______________________________________________ Approximate Date of Membership (if known):_________________________
Dues Schedule (check appropriate category)
* Applications Accepted Pending Approval by OCDLA Board of Directors Pursuant to Article III sec 6 of OCDLA Bylaws
[ ] Sustaining Member……………………………………………………………..………………..$250.00 per year
[ ] Regular Member (Admitted OBA more than 3 years)……………………………..…..…....…$115.00 per year
[ ] Regular Member (Admitted OBA less than 3 years)………………………………...…….......$90.00 per year
[ ] Public Defender ……………………………………………………………………...…….…….$90.00 per year
[ ] Affiliate Member…………………………………………………………………………….........$115.00 per year
[ ] Student Membership……………………………………………………………….....…….....…$75.00 per year
Law School________________ Expected Graduation Date______________CRIMINAL LAW OUTLINE
2008-09Criminal Law Outline……………………………………………………………………...…$40.00
Book only[ ] CD only[ ] Book and CD (add$10.00) [ ]TOTAL AMOUNT ENCLOSED
CERTIFICATION:
I hereby certify that I am not a full time judicial officer or full time prosecutor and I am actively engaged in the defense of criminal cases.
____________________________________________________________
________________________SignatureDate
DatePAYMENT METHOD
[ ] Check payable to OCDLA enclosed.[ ] Bill credit card.
[ ] Bill credit card.CREDIT CARD INFORMATION: VISA MASTERCARD AMEX DISCOVER (circle one)
Account number: __/__/__/__/-__/__/__/__/-__/__/__/__/-__/__/__/__/ Exp Date ___/___
Signature:__________________________________________
MAIL COMPLETED FORM AND PAYMENT TO:
OCDLAP.O. Box 2272 Oklahoma City, OK 73101-2272or fax to 405-239-2595
