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Oklahoma Bankers Association
Company Name
Company Mailing Address City, State, Zip
Company Phone Number Company Web Site
Primary Contact Title
Primary Contact Phone (if different from Company phone) Primary Contact E-mail address
Person to list in the FBA Directory & on FBA Web site (if different from Primary) Directory/Website Contact Phone (if different from Primary)
Directory/Website Contact Email (if different from Primary)
Directory/Website Contact Address (if different from Primary)
WHERE DO YOU WANT TO BE LISTED ON OUR WEB SITE AND IN THE FBA DIRECTORY?
Accounts Receivable Financing Auctions Auditing & CPA Firms Bank Building & Design Bank Card Services Bank Equipment/Supplies BSA/AML Check Program Collection Agencies Compensation/Executive Plans Compliance Consultants Computer Hardware, Software &Technology (including internet)
Consulting Firms Correspondent Services Data Processing/ATM Services Disaster Recovery Education Facility Maintenance Financial Services/Investment Banking Human Resources Insurance Legal FirmsMarketing
Mortgage Services Payment Processing Real Estate Receivership Risk Management Security Staffing Trust Related Products & Services Unclaimed Property Other
PAYMENT INFORMATION Annual Dues: $975 per fiscal year (July 1 – June 30) Make checks payable to: Florida Bankers Association or fill out credit card authorization form.
RETURN THE FOLLOWING ITEMS: Application Payment Logo (for spotlight on website) 50-word description Company brochure (optional)
Marilyn Matherne/Florida Bankers Association1001 Thomasville Road, Suite 201Tallahassee, FL 32303Email: [email protected] / Fax: (850) 297-1000
Strategic Members Update Form I understand to obtain prior written approval from OBA Services Compay for any use of OBA's name and/or logo.Signature:________________________________________
Company Name
Company Mailing Address City, State, Zip
Company Phone Number Company Website
Primary Contact Title
Primary Contact Phone (if different from Company phone) Primary Contact E-mail address
Directory and Website Contact Phone (if different from Primary) Person to list in the OBA Directory & on OBA Website (if different from Primary)
Directory and Website Contact Email (if different from Primary)
Directory and Website Contact Address (if different from Primary)
WHERE DO YOU WANT TO BE LISTED IN THE OKLAHOMA BANKER NEWSPAPER BANKERS' RESOURCE DIRECTORY SECTION
PAYMENT INFORMATION Strategic Member $1,200 for 2020 Dues (membership will expire December 31, 2020 - $200 Discount for early payment)
Payments must be received by January 15, 2020, to be included in the 2020 Oklahoma Directory of Banks.
Make checks payable to: OBA Services Company or fill out the credit card authorization form.
EMS TO
Payment
ETURN THR E FOLLOWING I
Company description Logo (email)
T THE ADDRESS BELOW:
Company brochure/Informational flyer
Thi Pham, Vendor Relations & Product Coordinator
Oklahoma Bankers Association
PO Box 960173 Oklahoma City, OK 73196 Email: [email protected] / Secure Fax: (405) 604-9545
Diamond Strategic Member $10,000 for 2020 Dues (membership will expire December 31, 2020) $5,000 for 2020 Marketing & Event Sponsorships Package (members only option)
Accounting/Auditing & CPA Firms
Computer Hardware, Software & Technology (Including Internet)
Consulting
Electronic Funds Transfer
Employment
Equipment/System
Financial Services
Insurance
Legal Services
Miscellaneous
Marketing
Supplies
Company Name
Company Mailing Address City, State, Zip
Company Phone Number Company Web Site
Primary Contact Title
Primary Contact Phone (if different from Company phone) Primary Contact E-mail address
Person to list in the FBA Directory & on FBA Web site (if different from Primary) Directory/Website Contact Phone (if different from Primary)
Directory/Website Contact Email (if different from Primary)
Directory/Website Contact Address (if different from Primary)
WHERE DO YOU WANT TO BE LISTED ON OUR WEB SITE AND IN THE FBA DIRECTORY?
Accounts Receivable Financing Auctions Auditing & CPA Firms Bank Building & Design Bank Card Services Bank Equipment/Supplies BSA/AML Check Program Collection Agencies Compensation/Executive Plans Compliance Consultants Computer Hardware, Software &Technology (including internet)
Consulting Firms Correspondent Services Data Processing/ATM Services Disaster Recovery Education Facility Maintenance Financial Services/Investment Banking Human Resources Insurance Legal FirmsMarketing
Mortgage Services Payment Processing Real Estate Receivership Risk Management Security Staffing Trust Related Products & Services Unclaimed Property Other
PAYMENT INFORMATION Annual Dues: $975 per fiscal year (July 1 – June 30) Make checks payable to: Florida Bankers Association or fill out credit card authorization form.
RETURN THE FOLLOWING ITEMS: Application Payment Logo (for spotlight on website) 50-word description Company brochure (optional)
Marilyn Matherne/Florida Bankers Association1001 Thomasville Road, Suite 201Tallahassee, FL 32303Email: [email protected] / Fax: (850) 297-1000
Oklahoma Bankers Association
Dues Credit Card Authorization Form
CONTACT INFORMATION
Name: ____________________________________________________________________________________________
Company/Bank: _____________________________________________________________________________________
Address: ___________________________________________________________________________________________
City/State/Zip: ______________________________________________________________________________________
Phone: ___________________________ email: ___________________________________________________________
PAYMENT INFORMATION I authorize the credit card listed below to be charged in the amount of: $1,200 for 2020 Strategic Membership Dues (membership will expire December 31, 2020 - $200 Discount for early payment
Card Type: MasterCard Visa
Name on Card: _____________________________________________________________________________________
Card Number: _______________________________________ Exp. Date: _______________ CSC Number: __________
Signature: _________________________________________________________________________________________
RETURN TO THE SECURE OPTIONS BELOW:
Secure Email: [email protected] Fax: 405.604.9545
PLEASE RETAIN THIS FORM TO SERVE AS YOUR RECEIPT FOR PAYMENT
PO Box 960173 | Oklahoma City, OK 73196 | Phone 405.424.5252 | Fax 405.604.9545
$5,000 for 2020 Marketing & Event Sponsorships Package (members only option)
American Express Discover
$10,000 for 2020 Diamond Strategic Membership Dues (membership will expire December 31, 2020)
______ for 2020 Marketing & Event Sponsorships (members only option)
