OAB Membership Application ~ Radio

Directory Information

Please provide the following directory information.

License City*

City State

Licensee / Owner*

First Last

Call Letters*

AM Frequency

AM Power

AM Format

FM Frequency

FM Power

FM Format

Network Affiliations

Associations (RAB, NAB, etc.)

Telephone

Website

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Studio Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

General Manager*

First Last

General Manager's Email Address*

General Sales Manager

First Last

General Sales Manager's Email Address*

Local Sales Manager

First Last

Local Sales Manager's Email Address*

Operations Manager

First Last

Operations Manager's Email Address*

Program Director

First Last

Program Director's Email Address*

Promotions Director

First Last

Promotions Director's Email Address*

News Director

First Last

News Director's Email Address*

Sports Director

First Last

Sports Director's Email Address*

Chief Engineer

First Last

Chief Engineer's Email Address*

Signature

Name*

First Last

Title*

Email*

Payment Method

Have you already been invoiced with your membership dues?*

Yes, I have received an invoice and am ready to make a payment.
No, I would like to receive and invoice.

Invoice Number*

Amount Due*

Payment Options*

Credit Card
Check

Note:

Please make checks payable to
Oklahoma Association of Broadcasters
and mail to:

6520 N. Western Avenue, Suite #104
Oklahoma City, Oklahoma 73116

The following amount will be charged to your credit card.

$0.00

Billing Address*

Street Address Address Line 2 City State ZIP Code

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.