P.O Box 479 | Searcy, AR 72145 | Phone (501) 305-9110 | Fax (501) 268-5877

Membership


Last Name (*)
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First Name (*)
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Middle Initial (*)
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Business Phone (*)
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Home Phone (*)
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Business Address (*)
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How many years of accounting have you had? (*)
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Date of Birth (*)
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Name of Firm (*)
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Number of Employees (*)
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Name of Partners
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Are you a Licensed, Registered or Certified Public Accountant? (*)
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If yes, give License #
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Are you an Accredited Public Accountant? (*)
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If yes, give Accreditation #
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Are you an Enrolled Agent? (*)
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If yes, give EA #
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Do you hold an Associate or Baccalaureate degree with a minimum of 24 semester hours in accounting? (*)
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Are you engaged in any other trade or business?
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If yes, please describe
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Please list other accounting organizations in which you hold membership
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Membership Dues (*)


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Total 0.00 USD