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Oklahoma State Employee Subscription


Please PRINT this form, SIGN, and MAIL to us at the address listed below.
We'll do the rest!

One year $16.95 (includes 6 issues)

Yes! I want to subscribe as a state employee (Oklahoma only).

Contact Information * Required fields


Last Name*___________________________________________
First Name*__________________________________________
State Agency (where I work)*__________________________

State Agency Address _______________________________

                                        _______________________________

Home Street Address*_________________________________
City*________________________________________________
State*__________________  Zip*_____________

Phone Number* (_____) _______ - _______________
My email address:______________________________

Signature*___________________________________
Date*____________________

Payroll Code: MIOK
Revised OTRD 1/27/04


Questions?
Call (800) 777-1793 or (405) 230-8450
8 a.m. to 5 p.m., Central Time Mon. - Fri.

Mail Form To:
Oklahoma Today Circulation, PO Box 1468,
Oklahoma City, OK 73101