2008 Annual Membership Registration Form

To ensure that your registration is complete, you MUST hit the SUBMIT button at the end of the application. This helps us to ensure that you are included in all chapter communication by automatically adding your registration to our database. Thank you for your cooperation.

Richmond Chapter APA
P.O. Box 25909
Richmond, VA 23260
Taxpayer ID# 54-1584976

This registration form is for 2008 membership in the Richmond Chapter of the American Payroll Association only. Membership in the National American Payroll Association is not included with these dues nor is membership to the local chapter included in dues paid to National.

Membership benefits include notification of Richmond Chapter meetings, reduced fees for bi-monthly meetings and statewide conferences, receipt of chapter mailings, a listing in the Member Profile, your own copy of the Profile, and access to network of fellow Payroll Professionals who can address your payroll-related questions.

Annual Membership Fees for the Richmond Chapter of the APA are $40.00 for Individual Members, or $100.00 for Corporate Members (up to 5 people - add $20 for each additional person).

Applications submitted after February 20, 2008, cost $50.00 for Individual Members, and $110.00 for Corporate Members. Be sure to submit your renewal prior to that date to avoid the additional fee.




Membership Type:
Individual Membership
Or, if Corporate Membership Members.
Application Type: New     Renewal

Are you a member of the National Payroll Association?
Yes     No

Company Name:
Address:
Address(2):
City, State, ZIP:
Contact Information:
Applicant 1

First and Last Name

Title

Certification

Phone

Fax

E-Mail

Birthday
Month
Day
Year

Preferred Payment Method:
Check     Paypal (VISA, MasterCard, AMEX, Discover)