MSCPA Student Membership Application
Student membership will expire once you become eligible for an
Associate or Fellow Membership by passing the CPA Exam or working
in the accounting profession.
Personal Information:
First Name
Middle Initial
Nick Name
Gender
Last Name
Date of Birth
Name of College
Address of College
City
State
Zip
Anticipated Month/Year of Graduation
Major/Degree
I am interested in joining the MSCPA High School Outreach Speakers Bureau.
I have graduated and have applied, or am sitting for, the CPA Exam.
Mailing Address to receive correspondence:
Street Address
P. O. Box
City
State
Zip
Home Phone
Cell Phone
Preferred Email
Promotional Code
Secondary Email
Twitter @
Payment Information:
Dues: $25
I have enclosed a check for $25
I am paying by credit card
Credit Card Type:
Mastercard
Visa
American Express
Card Number:
Exp. Date (mm/yy):
/
Name on Credit Card:
Please Return Application to:
The Massachusetts Society of CPAs
105 Chauncy St, 10th Floor, Boston, MA 02111
M a s s a c h u s e t t s S o c i e t y o f C e r t i f i e d P u b l i c A c c o u n t a n t s • C PA t r a c k . c o m
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