Online Application and Payment – Oklahoma City Prime Timers

Online Payment for Membership Dues:

Why not pay your dues online rather than writing a check! OKCPT now offers online payment through Square by clicking the appropriate button below. By paying with Square a service fee will be added for a total of $32.00.

OKCPT also offers an online application on this page that can be filled out using your computer, tablet, or phone. Note for renewing members: You only need to fill out a new application if your profile information has changed.

Prefer the paper and in-person method? Print our application and bring your check and completed application to an upcoming meeting.

Central Oklahoma Prime Timers - Membership Application

Name

First

Last

Street Address

City

State

Zip Code

Birthday mm/dd

Phone

Partner's Name (if applicable)

Anniversary Date (mm/dd)

Emergency Contact (optional). This information is only for leadership, and will not be shared with members)

Name

Phone

I am willing to be listed the COPT Directory

You can include a photo

Where did you hear about Central Oklahoma Prime Timers?

By entering your name into the signature field below your are agreeing to the terms and conditions of membership to Central Oklahoma Prime Timers.

If you have filled out this form correctly after hitting the submit button you will get the following message: "Thanks for submitting your online application to Central Oklahoma Prime Timers."

Signature

Date