Oklahoma Society of Clinical Oncology

General Information
Please complete the information below so we can update our files and make sure our information is accurate. Only the highlighted information will go on the website.
Membership Type*
Your Name*
First Last
Degree(s)
Area of Specialization*
Other Specialization
Home Address
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Email*

Board Certified*
- Yes
- No
Name of Board*
OK State License Number*
Subspecialties
Photo for Members Directory
Please make sure your photo is at least 280 x 280 pixels.
If you have any questions, please email [email protected].
Accepted file types: jpg, png.
Corporate Membership Level*
- Diamond
- Platinum
- Gold
- Silver
- Bronze
Organization Logo
Please make sure your logo uses a transparent background and has a height of at least 80 pixels.
Accepted file types: gif, png, eps, ai.
Payment
If you would like to pay online, please do so by going to our payment page.
Otherwise, please make checks payable to Oklahoma Society of Clinical Oncology and mail it to:
15009 E 89th Place N
Owasso, OK 74055

If you have any questions please contact Mary Jo Richards at (918) 261-8951.
Email
This field is for validation purposes and should be left unchanged.

Membership Signup