Standard Subscription Signup

All the fields marked * are required

1.Select Product Type —Please choose an option—Okie Joe Coffee Lover's BoxThunder Chef BoxSnack Lover's BoxDoggie BoxBeauty BoxOklahomie BoxSooner State Box

2.Choose Subscription Type —Please choose an option—Deliver Every 3-MonthDeliver Every 6-Month

3.Are You* FemaleMale

4.Your Name*

5.Email Address*

6.Phone Number*

7.Billing Address*

8.Shipping Address (Optional)

Add Preferences (Optional)

9.When is your birthday?

10.What is your t-shirt size? SmallMediumLargeExtra LargeXXL

11.What is your favorite color? BluesRedsYellowsGreens

12.Would you like to sign up to be a beta tester for future products? YesNo

13.Check all that applies to you
* Age Under 21Age 21-30Age 31-49Age 50+

Choose Payment Option* —Please choose an option—Credit CardBank

14.Add Credit Card Details*

Card Number*
Expiration Date*
CVV*

15.Add Bank Details (If Card Details Are Not Added)

Bank Name
Routing Number
Account Number
Account Type—Please choose an option—CheckingSavings

Promo Code

[group ThreeM0nths] Authorization* I authorize Sample Oklahoma Company, “ sampleoklahoma.com ” to initiate an electronic charge to my bank account or credit card in the amount stated above + sales tax and a $3.95 handling fee per shipment. Charges would occur based on the frequency of the subscription terms.
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[group SixM0nths] Authorization* I authorize Sample Oklahoma Company, “ sampleoklahoma.com ” to initiate an electronic charge to my bank account or credit card in the amount stated above + sales tax and a $3.95 handling fee per shipment. Charges would occur based on the frequency of the subscription terms.
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For questions, you may email us at support@sampleok.com