MEMBERSHIP APPLICATION

CALIFORNIA SOCIETY OF TAX CONSULTANTS, INC.

___Mr. ___Mrs.  ___ Ms.

____________________________________________________________________________________________

                            Please type or print name as you wish it to appear on Membership Certificate

Name/Nickname ______________________________________________________________________________

                                       Please type or print name as you wish it to appear on Name Badge

Mailing Address: ______________________________________________________________________________

                             City __________________________________   State  _______  Zip ____________

Home Phone (_____) _________________   Business Phone (_____ )_____________   Fax (____ ) ___________

E-mail __________________________________________________

CTEC# ____________  EA# ____________  CPA# ____________  PA# ____________  Attorney # ____________  

I am applying for membership in _______________________________________ Chapter.

Associate Member Only _______________________________________

                                                      (Sponsor Required)

 

Recruited  by_________________________

 

I hereby state that if I am accepted as a member I will abide by the By-Laws of the Society and will practice in strict conformity with the Code of Ethics adopted by the Society.

I enclose the sum of $155.00 which is my initial application fee of $25.00 and $130.00 for first year's dues. If for any reason my application is rejected, I understand the $155.00 will be refunded. Subsequent yearly dues are due and payable July 1st of each year, with the first renewal dues prorated based upon date of original membership, e.g. a member joining on January 1st would have a renewal of $64.00 for the year beginning July I through June 30.

 

Credit Card Transactions:
Card #______________________ Exp. Date_____________  Sec#__________________
Signature_______________________ Date_______________________
 

 

Date _________________

Applicant Signature _______________________________________________________

Check , money order or credit card in the amount of $155 must accompany this application.

MAIL APPLICATION AND CHECK TO

CSTC  12419 Lewis Street, Suite 106  Garden Grove , CA  92840

This application is subject to approval by the Board of Directors of the California Society of Tax Consultants.
Deposit of your check does not imply acceptance to membership; all refunds will be given as herein before stated.

________________________________________________________________________________________________
Endorser (optional)                    Signature                                                                                                  Date

Office Use Only

Pd _________ Comp. _________ Pkg. _________ Badge ________