Print out this form and send to:

3 Park Ave., 18th Floor
New York, NY 10016-5991

Print

Date__________________________________________________
First Name __________________________________________________
Last Name __________________________________________________
E-mail Address __________________________________________________
Daytime Phone Number__________________________________________________
CPA?___ Yes    ___ No
State Certified?___ Yes    ___ No

Subscription Rates
TermNon-NYSSCPA Members
1 Year $15.00

Credit Card Information

Credit Card___ Master Card   ___ Visa    ___ Amex
Name on the Credit Card__________________________________________________
Account # __________________________________________________
Exp. Date __________________________________________________

Close