Oklahoma Bandmasters Association

O.B.A. 2011 CLINIC PREREGISTRATION and/or MEMBERSHIP APPLICATION - Deadline: Friday, July 1, 2011

Select one of the following four types of membership:

O.B.A. Active Membership @ $40.00/each

Retired Teacher @ $10.00/each

1st Year Teacher @ Free

Hall of Fame Member @ Free

Add Clinic Registration if attending the conference, after selecting one of the above:

Clinic Registration @ $30.00/each

Select one or more of the following if attending the conference:

Spouse @ $10.00/each

Children @ $5.00/each (max $10.00)

College Student* @ $25.00/each*

* College student enrollment does not include the golf tournament, family activities, business luncheon or the Hall of Fame Banquet and is not considered an active member of O.B.A.

Hall of Fame Banquet Attendance

I will be attending @ Included*

Additional Tickets Needed @ $20.00/each

* OBA FEES INCLUDES ONE TICKET TO THE HALL OF FAME BANQUET.

Home Information

First Name M.I. Last Name

Address

City State Zip

Phone Email

School Information

School Name

Address

City State Zip

Phone Email

Fax

Other Information

Name of Spouse if attending the OBA CONVENTION

Names (first & last) of Children if attending the OBA CONVENTION

Years Teaching in Oklahoma* Total Years of Teaching*

*This information is related to the awarding of OBA Service Award pins, to those that qualify for a service pin, in attendance at the Hall of Fame Banquet.