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FSA Membership Application

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Professional Status

Person Applying For Professional Regular Membership Must Meet One Of The Following Requirements:


Check All That Apply:
-OR-
-OR-
-OR-


Person Not Meeting Professional Regular Membership Qualifications Above May Apply For Associate, Student, Educator, Non-Resident, Or Retired Membership. Check The Statement Below That Best Applies To You:




  I hereby state that the statements made in this application are correct. I further state that I will abide by the Articles of Incorporation and the By-Laws of the Society and will practice in strict conformity with the Code of Ethics and Rules of Professional Conduct as adopted by the Society.

Membership Type DUES AND PAYMENTS
Professional Regular.....$100.00 Professional Associate.....$75.00 Associate................$75.00
Staff Associate..................$15.00 Educator.............................$15.00 Non-Resident.........$10.00
Retired...............................$25.00 Student...............................$15.00  
     
*Initiation Fee - add $25.00    
  Dues:   $_____.00
     
  Initiation Fee:        $25.00
     
  Total Remitted:  $_____.00

Please Mail Your Check To:

FLORIDA SOCIETY OF ACCOUNTANTS
PO BOX 156
New Port Richey, FL  34656
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