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Provider Partner Membership Application

Application information (all sections must be filled out completely) Membership begins upon receipt of payment. Discounts will NOT be honored unless you are current on payment arrangements. We offer customers a card price and a 3.99% discounted check price!

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Becoming an OKSLA Provider Partner you gain valuable exposure, showcase your commitment to Senior Living, stay informed on Provider trends, and access exclusive advertising and sponsorship opportunities. Application information (all sections must be filled out completely) Membership begins upon receipt of payment. Discounts will NOT be honored unless you are current on payment arrangements. OKSLA dues are not tax deductible as charitable contributions. However, they may be partially deductible as business expenses.
Membership Dues
(Charge per bed/flat fee plus Government Relations Fee) ** Please note when the same owner of a Mini -AL opens a 2nd location, they are only charged for the additional beds until they reach 30 beds. ** Not for Profit AL's are not charged the Government Relations fee.
Price: $19.75
Price: $19.75
Price: $4.16
Price: $2.08
Price: $12.48

Price: $19.00

Address

One primary contact will receive ALL mailings. However, all employees are considered members.
Primary Contact Name*

Please list accounts payable contact information
Billing Contact Name*
Billing Address*

Individuals you would like to receive emails and other communication.
Secondary Contact Name
Additional Contact Name
Provider Partner Dues are due in Full PRIOR to February 1, unless you are upgrading your membership to a Bronze, Gold, or Platinum Partnership. If you upgrade, you may request payment option below. Annual Payment - Payment in full due February 1 A $25 late fee may be assessed on payments over 15 days late.
Payment Schedule choice
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 

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