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Student Membership — Student Membership Application

Requirements: Student members shall include any college student with an interest in accounting who is not qualified for admission to any other class of membership in the Society. Upon graduation, student members may continue membership with the Society by becoming an associate member.

This is secure transaction. Fields with a star * are required.

Personal Information
Name*
Nickname (for name tag use)
Date of birth
Send VSCPA mail to
Home mailing address*
Phone number*
E-mail address*
Gender

Education
School name*
School mailing address
School phone number
What year do you expect to graduate?*

Special Interest Groups
Accounting and Assurance Services
Consulting Services
Financial Planning
Government Affairs
Government and Nonprofit
Management
Media and Public Relations
Taxation
Technology

Credit Card Information
Name on card
Credit card number*
Amount
Expiration date
Daytime phone number

Application Process
I agree to the terms below

What prompted you to apply for a VSCPA student membership?
Brochure/Flyer
VSCPA Web site
Disclosures
College professor
If so, what is the educator's name?
Other

VSCPA • 4309 Cox Road • Glen Allen • Virginia • 23060
Phone: (800) 733-8272 • Fax: (804) 273-1741• E-mail: vscpa@vscpa.com
© 2005. Virginia Society of Certified Public Accountants. All rights reserved.
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