Renewal Form | CollabOK

COLLABORATE OKLAHOMA

MEMBERSHIP RENEWAL

FIRST NAME

LAST NAME

FIRM

PROFESSIONAL LICENSE NO.

ADDRESS

TELEPHONE:

Note: Preferred Contact Number

Choose one

Office

Cell

Phone Number

I certify that I am a member in good standing of my Professional Board:

(Name and Address of Professional Board)

Has there been a change in your contact information since last year?

Yes

I am currently covered by liability insurance

I understand that to remain a member of the Oklahoma Academy of Collaborative Professionals, I shall:

* Maintain Professional Liability Insurance;

* Pay annual membership renewal fee when due each year (currently $200);

* Adhere to the principles and guidelines of Collaborative Process as adopted by OACP including payment of assessment fees;

* Participate in continuing legal education as required by OACP;

* Strictly adhere to the guidelines and principles of the Participation Agreement; and

* Join the OBA Family Law Section and maintain an annual membership.

I further agree that should I fail to meet the above criteria, such non-compliance constitutes sufficient cause to remove my name from the membership roster of Oklahoma Academy of Collaborative Professionals.

Signature

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Printed Name

Date

To pay online please go to: https://buy.stripe.com/cN22aBfKj3lz45GcMR or go to the website at https://www.collabok.org/ and use the member payment link.

If you need to pay by check, please email OACPTreasurer@gmail.com with copy to okcollab@gmail.com so we can ensure your payment is received timely.

Upload Proof of Payment (Screenshot or Paid Confirmation)

I am paying via check.

Follow this email format if paying via check: Subject: Name / Membership Application / Check Payment Body: I have submitted an online application form from your website, I would like to pay via check. Let me know what are the next required steps to proceed.