04574 OCFCE Online Membership Form

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip Code *

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Home Phone

Mobile Phone

Preferred Phones

preferred

Personal E-mail *

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School *

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Position *

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Employee Number

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Select your membership category

Dues Amount

$0.00

Total * draft

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Authorize

TO: PAYROLL DEPARTMENT OKLAHOMA CITY PUBLIC SCHOOLS

I hereby authorize the Oklahoma City Board of Education to deduct from each warrant an amount equal to my annual OCFCE dues as certified by the OCFCE. I further authorize this deduction to be continuous unless I request cancellation. I further authorize the Board of Education to change the amount of my deduction in compliance with any change in dues voted by the membership and certified by the OCFCE. I further authorize the deduction to be forwarded monthly to the OCFCE and understand that the OCFCE is completely responsible to me for the disposition of the funds. I understand that OCFCE services, including professional liability and legal defense, are contingent upon paid OCFCE membership.

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$0.00