JOIN MAPA

Firm Street Address *

Mailing Address if Different *

City *

State *

Zip Code *

ACTIVE MEMBERSHIP - PRINCIPAL

Are you engaged in the practice of Public Accounting and/or taxation and do you maintain an office for your accounting or tax practice? *

yes no

RECIPROCAL MEMBERSHIP

If you are a member of another state association affiliated with the National Society of accounts enter the name of the Affiliated Association. *

ACTIVE MEMBERSHIP - STAFF ACCOUNTANT

Are you employed as a *

Junior Staff Accountant Senior Staff Accountant Public Accountant Certified Public Accountant

Are you employed in a non-public field or accounting with your primary duties being in accounting or tax? *

Government Financial Institution Private sector business Non-profit entity

Do you hold any of the following? *

ASSOCIATE MEMBERSHIP

Are you a clerical employee of a MAPA member ( ) Associate Membership Annual Dues $50 engaged in an accounting and/or tax practice? *

yes no

Are you a representative of a firm which provides professional materials and/or services in the fields of accountancy and/or taxation? *

yes no

STUDENT MEMBERSHIP

CPE REQUIREMENTS FOR ACTIVE MEMBERSHIPS
Principal Member – 72 hrs. each 3 year cycle; Minimum of 16 must be earned each year.
Staff Accountant -- 36 hrs. each 3 year cycle; Minimum of 8 must be earned each year.

Annual dues are payable IN FULL in advance and are prorated on a quarterly basis to June 30, the end of MAPA’s fiscal year. MAPA dues are deductible as business expenses, but not as a charitable deduction. *

Active Membership Principal Annual Dues $150 Active Membership Staff Accountant Annual Dues $75 Associate Membership Annual Dues $50 Reciprocal Membership $25 Student Membership-first year free; $5 per year thereafter

Make checks payable to MAPA
Mail to MAPA • P O Box 3423• Brookhaven, MS 39603

If you prefer to pay by credit card you can do so after you submit this form.

I hereby state that all information submitted is both accurate and true. I further state that if I am accepted as a member of MAPA I will abide by the Constitution and By-Laws of MAPA and will practice in strict conformity with the Code of Ethics and Rules of Professional Conduct as adopted by MAPA.

Member Application

Membership application