OAB Membership Application ~ Television

Directory Information

Please provide the following directory information.

License City*

City State

Licensee / Owner*

First Last

Call Letters*

Channel

Network Affiliation (if any)

Associations (NAB, TVB, etc.)

Phone*

Website

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Studio Address (if different)

Street Address Address Line 2 City State ZIP Code

General Manager*

First Last

General Manager's Email Address*

News Director

First Last

News Director's Email Address

Station Manager

First Last

Station 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

Sports Director

First Last

Sports Director's Email Address

Chief Engineer

First Last

Sports Director'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.