ACPAPP - Revised Membership Form
1
ASSOCIATION OF CERTIFIED PUBLIC ACCOUNTANTS IN PUBLIC PRACTICE 2308 Cityland 10, Tower 1 H.V. Dela Costa corner Ayala Avenue North, Makati City Tel No. 753-4089; Fax No 753-4027 email: [email protected]; website: www.acpapp.com MEMBERSHIP APPLICATION FORM (Please use typewriter to fill up) A. INSTITUTIONAL MEMBERSHIP (don’t fill if firm is already registered as institutional member) Our Firm would like to be an institutional member of ACPAPP. Name of Firm: __________________________________________________________________ Office Address: _________________________________________________________________ ______________________________________________________________________________ Tel No ____________________ Fax No. ___________________ Email ____________________ No. of years in public practice ____ No. of CPAs working in the Firm ____ No of personnel _____ Name of Designated Firm Representative ____________________________________________ B. INDIVIDUAL MEMBERSHP Our Firm would like to enroll the following CPA(s) as individual member(s) of ACPAPP. (Please use separate sheet if necessary) Name of Firm: __________________________________________________________________ Office Address: _________________________________________________________________ ______________________________________________________________________________ Tel No ____________________ Fax No. ___________________ Email ____________________ Name Position No. of Years in Practice CPA No. Date Issued C. ASSOCIATE MEMBERSHIP (for CPAs no longer in public practice) I would like to be an Associate Member of ACPAPP. Name ________________________________________________________________________ Office Address _________________________________________________________________ Tel No ____________________ Fax No. ___________________ Email ____________________ Present Affiliation _______________________________________________________________ I/We confirm my/our membership with ACPAPP and the correctness of the information indicated above. ___________________________ _____________________ Applicant’s Printed Name Signature Sponsor: ___________________________ _____________________ Name of Individual Member Name of Firm ----------------------------------------------------------------------------------------------------------------------------- --------------- (For ACPAPP use only) On behalf of the ACPAPP Board of Directors, we approve this application for membership in ACPAPP. ______________________________ _______________________________ Chair, Membership Development ACPAPP President ACPAPP PP x BLB Accounting Services Unit 16 Borromeo Arcade, F. Ramos St., Cebu City 0322545718 0322545718 [email protected] 3 1 5 Brian L. Baluya BLB Accounting Services Unit 16 Borromeo Arcade, F. Ramos St., Cebu City 0322545718 0322545718 [email protected] Brian L. Baluya manager 3 yrs 94468 June 6, 1997 pdfediting
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Transcript of ACPAPP - Revised Membership Form
ASSOCIATION OF CERTIFIED PUBLIC ACCOUNTANTSIN PUBLIC PRACTICE
2308 Cityland 10, Tower 1 H.V. Dela Costa corner Ayala Avenue North, Makati City
Tel No. 753-4089; Fax No 753-4027 email: [email protected]; website: www.acpapp.com
MEMBERSHIP APPLICATION FORM (Please use typewriter to fill up)
A. INSTITUTIONAL MEMBERSHIP (don’t fill if firm is already registered as institutional member)
Our Firm would like to be an institutional member of ACPAPP.
Name of Firm: __________________________________________________________________
Office Address: _________________________________________________________________
______________________________________________________________________________ Tel No ____________________ Fax No. ___________________ Email ____________________ No. of years in public practice ____ No. of CPAs working in the Firm ____ No of personnel _____ Name of Designated Firm Representative ____________________________________________
B. INDIVIDUAL MEMBERSHP
Our Firm would like to enroll the following CPA(s) as individual member(s) of ACPAPP.(Please use separate sheet if necessary)
Name of Firm: __________________________________________________________________
Office Address: _________________________________________________________________
______________________________________________________________________________
Tel No ____________________ Fax No. ___________________ Email ____________________
Name Position No. of Years in
Practice CPA No. Date Issued
C. ASSOCIATE MEMBERSHIP (for CPAs no longer in public practice)
I would like to be an Associate Member of ACPAPP.
Name ________________________________________________________________________
Office Address _________________________________________________________________
Tel No ____________________ Fax No. ___________________ Email ____________________
Present Affiliation _______________________________________________________________
I/We confirm my/our membership with ACPAPP and the correctness of the informationindicated above.
___________________________ _____________________ Applicant’s Printed Name Signature
Sponsor:
___________________________ _____________________ Name of Individual Member Name of Firm----------------------------------------------------------------------------------------------------------------------------- ---------------
(For ACPAPP use only)
On behalf of the ACPAPP Board of Directors, we approve this application for membership inACPAPP.
______________________________ _______________________________ Chair, Membership Development ACPAPP President
ACPAPPPP
x
BLB Accounting Services
Unit 16 Borromeo Arcade, F. Ramos St., Cebu City
0322545718 0322545718 [email protected] 3 1 5
Brian L. Baluya
BLB Accounting Services
Unit 16 Borromeo Arcade, F. Ramos St., Cebu City
0322545718 0322545718 [email protected]
Brian L. Baluya manager 3 yrs 94468 June 6, 1997
pdfediting
