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Active Member Qualifications |
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I am enrolled to practice before the IRS:
Number |
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Public Accountant or Certified Public Accountant:
Number |
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Associate Degree or Baccalaureate Degree,
minimum 24 semester hours: Please list degrees,
years received and schools attended:
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I am accredited by the Accreditation Council
for Accountancy & Taxation in:
Accountancy Taxation Both |
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I Am Registered by the California Tax Education
Council:
Number |
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I have a minimum of 5 years Bookkeeping Experience
in Public Practice:
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Educator/Associate Qualifications |
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I am an instructor of accounting at an accredited
university or community college: |
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I am a partner/sole practitioner in an accounting/tax
practice but I do not meet any of the
requirements
for active membership: |
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I am an employee of an accounting and/or
tax practice firm:
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I am employed in government, a financial
institution, private sector business or non-profit
entity, with primary duties in the field
of accountancy: |
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Type your name as you wish it to appear on
your CSATP Certificate |
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| Name: |
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Mr.
Mrs.
Ms. |
| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Country: |
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Telephone: |
Cell Phone: |
| Fax: |
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| E-Mail: |
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| Name of Firm: |
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| Names of Partners: |
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| Web Site Address: |
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| Type of Business: |
Sole Practitioner Partnership
Corporation |
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Year of Experience Taxation Experience
Public Practice Employees
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| National and State |
Organizations you currently hold membership
in:
NSA ISTC SCA CSEA NAEA CSCPA
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| Yes |
I hereby state that the accompanying statements
are correct to the best of my knowledge and
belief. I further state I will abide by the
Constitution and Bylaws of the Society and
will practice in strict conformity with the
Code of Ethics and Rules of Processional
Conduct adopted by the Society |
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| Date: Signature: |
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Annual dues are payable IN FULL in advance |
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Active Membership Annual Dues $110.00 |
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Associate Annual Dues $70.00 |
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Educator Associate Annual Dues $70.00 |
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Retired / Non-Practicing Annual Dues $50.00 |
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May we publish your name in a membership roster? |
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May we publish you name in the monthly newsletter? |
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Have you met the education Requirement? |
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Credit Cards Accepted:
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| Credit Card:
| Visa American Express MasterCard
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| E-Mail Address: (*required)
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| Credit Card Number: |
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| Amount to be charged: |
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| Name as it appears on Credit Card: |
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Expiration Date:
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