OCDLA
Oklahoma Criminal Defense Lawyers Association
OKLAHOMA CRIMINAL DEFENSE LAWYERS ASSOCIATION
RENEWAL
MEMBERSHIP FORM

PLEASE CHECK THE INFORMATION BELOW FOR ACCURACY


Name:__________________________________________________________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
[  ] 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
2008-09 Criminal Law Outline……………………………………………………………………...…$40.00
Book………CD………Both (add $10.00)

TOTAL AMOUNT ENCLOSED

Please Renew My Membership For 2010. 
My Payment Is As Follows:
[  ] Check—Check Number_______ In The Amount Of ______________
[  ] Credit Card
Visa    Mastercard    Amex    Discover
Credit Card #_____________________________  Expiration Date____/___/____

FAX TO:405-239-2595 
OR MAILTO:  
OCDLA
PO BOX 2272
Oklahoma City, OK 73101-2272