Annual Membership RenewalEnroll for Membership Year 6/01/2021 TO 5/31/2022 Current Members: Please complete the form and return submit your annual dues payment by 7/31/2021. Thank you! Name of Company* Company Type*Select a valueCorporationPartnershipSole ProprietorshipOtherPhysical Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* OKAA Delegate (Main Contact)* Officers, Partners, or OwnersList below the exact manner in which you would like to have your company listed in the OKAA Membership DirectoryCompany Name* Membership Classification (Select One)Membership* Producer Affiliate Consent* I agree.We hereby certify and agree to abide by the OKAA bylaws.Affiliate Membership Level* Crusher ($8,000) Champion ($5,500) Advocate ($3,500) Supporter ($2,000) Friend ($1,500) Affiliate members, please check our affiliates levels and benefits, and choose which membership level you are joining. Please note "Friend" is OKAA's minimum membership amount.Optional: Download to learn more about each membership level. 2022 TONS*Determine your tons produced in 2022 and enter here.Producer Members, please enter your tons produced to calculate membership fee. CLASS 1 - 250,000 TONS OR LESS Price: CLASS 2 - 250,000 TO 2,000,000 TONS Price: $0.00 CLASS 3 - 2,000,001 OR MORE TONS Price: $0.00 Consent* I agree.We hereby certify that the undersigned company is actively engaged in the production and/or sale of and upon becoming a member, will abide by the bylaws of the association.Company LogoMax. file size: 256 MB.Upload a company logo file for display on our website Membership Directory.Payment InformationPreferred Payment Method* Credit Card Check Electronic Draft NOTE: As a new benefit of Membership in OKAA, feel free to pay via credit card (below) with ZERO SERVICE FEE!Preferred Payment Term*Select a valueQuarterlyBi-AnnualCredit Card Payment American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Electronic Bank Draft InstructionsSend bank draft payment to:BancFirstRouting Number 103003632 Account ending XXXXXX2152 - Oklahoma Aggregates Association.Check Payment InstructionsMail check payment to: OKAA 435 N. Walker, Suite 103 Oklahoma City, OK 73102AuthorizationSigned By* Date* Submit your form and we will send you an invoice for payments.
