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Registration of Professional Solicitor
( ) Initial Registration ( ) Renewal ( ) Update
Oklahoma Secretary of State, 2300 N. Lincoln Blvd., Room 101, Oklahoma City, OK 73105-4897 Telephone: (405) 521-3912
Every professional solicitor employed or retained by a professional fund raiser required to register shall, before accepting employment by the professional fund raiser, register with the Secretary of State. Registration shall be for a period of one (1) year from filing with the Secretary of State. Registrations may be renewed for additional one year periods by filing a renewal application and payment of the $10.00 filing fee. 1. Full, legal name of solicitor (first, middle, last):
2.
Street address of solicitor:
Street 3.
City
County
State
Zip Code
Full, legal name & street address of the professional fund raiser you have been employed or retained by:
EXECUTION & ACKNOWLEDGEMENT I, the undersigned professional solicitor, under penalty of perjury, have caused this registration to be executed this day of , ; and that the contents of the application are true and complete.
Signature of Solicitor
(SOS FORM 104-11/99)