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Texas Association of Certified Public Accountants
INDIVIDUAL MEMBERSHIP APPLICATION

   
                                                                                                                                                 
Preferred Name for Membership Certificate Texas CPA Certificate No.
 
                                                                                     
Preferred Name for TACPA Correspondence
 
                                                                                                                                                                           
Firm/Business Name
 
                                                                                                                                                                           
Firm/Business Address
     
                                                                                                                                                                         
City State Zip Code
     
(       )                                (      )                                                                                                  
Business Phone No. Business Fax No. E-mail Address
   
                                                                                      (      )                                                     
Home Address Home Phone No.
     
                                                                                                                                                                         
City State Zip Code

 

When e-mail not practical, please send mail to                          home                        office.

   
Date of birth:            /          /                       Sex:           F         M
         
Firm Size (# CPAs):               1               2 to 5               6 to 10               over 10
   
Member Annual Dues:                 $100.00
   
Please make check payable to
and mail check to:		 Texas Association of Certified Public Accountants
P.O. Box 27115
Houston, Texas 77227-7115
   
                                                                                                                               
Signature Date

Voting Membership Restricted to Ten Members per Firm

AN ASSOCIATION DEDICATED EXCLUSIVELY TO THE UNIQUE INTERESTS OF CPAs IN PUBLIC PRACTICE
www.tacpa.net