Susquehanna Valley Chapter of the APA



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	Send Check To: Susquehanna Valley Chapter C/O Alnona Rippy CPP BC-USA 400 S. Custer Ave. New Holland PA 17557-9220

Membership Form: Renew/Renewal

The Susquehanna Valley Chapter of the American Payroll Association invites you to purchase your membership here.

Single Membership:
$40.00 per Year Membership year is July 1 - June 30

The form below is to be filled out completely. Some of the fields are required. You can't submit this form until those fields are satisfied.

We can not accept registrations with AOL email addresses.
If you do not have another email address click here for a form to down load and email to: membership@APASVC.ORG

Name:
Email:
Title:

Company:
Address:
City:
State:
Zip:
Phone:
Fax:

Membership Type:
National APA Member?
Certification Type: CPA, CPP, etc
National Membership #:
Interested in our study groups?
Payroll Software:
Number of Employees: