
Membership Application
Name : ______________________________________
Title : _______________________________________
Company: ___________________________________________
Business Address: __________________________________________
City: ______________ State: _____ Zip: _____________
E-mail Address : ______________________________
Business Phone: (___)__________________
Business Fax: (___)__________________
Are you a member of national APA: YES__ NO__
Are you CPP (Certified Payroll Professional) Certified: YES__ NO
__Would you like to have your name and company listed in our yearly booklet sent to our chapter members: YES__ NO__
Enclose a check for $30.00(individual)
along with this completed applicationMake check payable to:San Diego Chapter of the American Payroll Association
Mail this form and your check to: San Diego Chapter of the American Payroll Association, P.O. Box 711388, Santee, CA 92072-1388
Signature
: ______________________________ Date: __________________Return to membership page.