Join Now!
SCACPA wants to make becoming a member as convenient as possible!
Simply complete the application form and remit to SCACPA with the applicable dues payment and initiation fee via: Online at: www.scacpa.org; Fax to: (803) 791-4196 Mail to: SCACPA, 570 Chris Drive, West Columbia, SC 29169
Define yourself. Invest in your future.
Personal contact information c
Mr. c Mrs. c Ms. c Other:
Full Name:
Nickname:
Date of Birth:
Gender: c Female c Male
Spouse’s Name:
E-mail Address:
Secondary E-mail Address: (non-work account)
AICPA Membership No.
Beta Alpha Psi Chapter No.
Select where you would like to receive SCACPA correspondence: Employer:
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Office
Home
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Job Title:
City/State/Zip:
Business Address:
Permanent Home Address:
City/State/Zip:
City/State/Zip:
Business Phone:
Home Phone:
Business Fax:
Cell Phone:
Business Type:
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Accounting Firm c Industry
Government
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Education
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School
School Address:
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Other:
Please check membership type
Associate Membership - CPA Candidate ($80 dues, plus $35 initiation fee*)
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Supervised by the following CPA:
Faculty Advisor:
Anticipated date of licensure:
Graduation Date:
SCACPA Student Membership Number: (* $35 initiation fee waived with active student membership)
School:
Student ($15 dues; no initiation fee required)
Freshman
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MBA Candidate
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Sophomore c
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Junior
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Senior
MAcc Candidate
PAYMENT INFORMATION Total Amount due/authorized: $ Method of payment:
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Check (make payable to SCACPA) or Credit Card: c Visa
Card Number:
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Signature:
American Express
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MasterCard
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Discover
Expiration Date: CCV/Security Code:
Thank you for joining SCACPA! You will receive a welcome kit with your membership number within two weeks of our receipt of your application. Questions? Please call (888) 557-4814 or e-mail membership@scacpa.org.
CPA
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South Carolina Association of Certified Public Accountants 570 Chris Drive West Columbia, SC 29169 www.scacpa.org
South Carolina
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SC Association of Certified Public Accountants
CPA Candidate and Student Membership South Carolina
CPA
www.scacpa.org