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Application to Join or Renew Your Membership
(Due January Each Year)
First Name:
Last Name:
Street Address (1):
Street Address (2):
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Email Address:
CPA Class #:
Month/Year Graduated:
Your Occupation/Profession:
Comments
Check Here If You Paying By
CREDIT CARD
Check Here If You Are Mailing Us A
CHECK
After you click "Submit" you will be returned to this page.
Click the button below to pay your Membership Dues now.
If you would prefer to pay by check please make your check for $15.00 out to :
BSCPA Alumni Association
and mail to 605 SW US Highway 40 #113, Blue Springs, MO 64014