Know a Centenarian?

If you know of a Centenarian you would like to honor –

Please fill out the forms as completely as possible and submit them to our office.

One of our team members will contact you directly with the next steps.

Click here to download the PDF form

The form may be printed and filled out by hand OR save the file to your computer and use this fillable version. 

To Save: first, download the pdf form using the link above and then right click on the document. Select “Save as…” and then choose a location on your computer to save the file to. Complete the form and then save your file again.

Filling out the form may react differently depending upon the computer browser that you use. 

Scan the handwritten forms or attach the saved file to an email and send to:

centenariansofoklahoma@gmail.com

OR

Mail to:

Centenarians of Oklahoma
Attention: Gloria Helmuth
3510 East 32nd Street #11
Tulsa, Ok 74135

For more information, click here to download our brochure