FICPA Membership Application - Step 1 of 4
* Required Items
General Member Information:
Have you previously been a member of the FICPA?
No
Yes
I am applying for membership as:
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Click here for membership descriptions
(Please Select)
Partner or Owner, certified ten years or more
Partner or Owner, certified at least three, but less than ten years
Partner or Owner, certified less than three years
Staff Member, certified ten years or more
Staff Member, certified at least three, but less than ten years
Staff Member, certified less than three years
Government/Education Member, certified ten years or more
Government/Education Member, certified at least three, but less than ten years
Government/Education Member, certified less than three years
Accounting Educator
Associate Member
Non-Resident Member
Retired Member
Student Member
International Affiliate Member
Professional Affiliate Member
First Name or Initial:
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Middle Name or Initial:
Last Name:
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Suffix (Jr, Sr, etc.)
Preferred Name:
Date of Birth
(mm/dd/yyyy):
Gender:
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Male
Female
Home Street Address:
Home City:
Home State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Foreign Address
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Military Address
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Virgin Islands
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Home Zip Code:
Home Foreign Country:
Home PO Box:
PO Box Zip Code:
Home Phone
(xxx-xxx-xxxx):
Home Fax
(xxx-xxx-xxxx):
E-mail:
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Chapters:
Choose the FICPA Chapter you prefer to join.
Preferred Chapter
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:
(
click here to view Chapter map
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(Required)
Atlantic
Brevard County
Broward County
Central Florida
Emerald Coast
Florida Keys
Gold Coast
Gulf Coast
Jacksonville
Miami-Dade County
Miami-Downtown
Mid-Florida
Miracle Strip
North Central Florida
North Suncoast
Out of Country
Out of State
Palm Beach
Polk County
Sailfish
Sandspur
South Dade
Southwest Florida
St. Johns River
Suncoast
Tallahassee
Volusia County
West Coast
West Florida
Links
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