Membership Application

Member Classification

Have you previously been a member of the MACPA?

NoYes

I am applying for membership as:*

Fellow: Certified 5 years or less - Holder of a Michigan CPA Certificate and a resident of Michigan who has been certified less than 5 years.
Fellow: Certified more than 5 years - Holder of a Michigan CPA Certificate and a resident of Michigan who has been certified more than 5 years.
Registered Only - Licensed status is registered only or inactive.
Associate / Resident - Holder of a CPA Certificate from any other state, living in Michigan.
Associate / Non-Resident - Holder of a Michigan CPA Certificate but NOT a resident of Michigan OR holder of a CPA certificate issued by another state regardless of residency.
CPA Candidate - College accounting graduates who are preparing for or who have passed the CPA exam but are not yet certified
Non-CPA - Non-CPA owners of a CPA firm; billable professionals employed by a CPA firm; foreign licensees employed by a CPA firm.
Firm Administrator - A professional who is a non-CPA in firm administration employed at a public accounting firm.
Professional Affiliate - For a list of criteria you must meet to join the MACPA as a Professional Affiliate member please click here.
College Educator - Educator at an accredited Michigan college or university whose primary income is not derived from public accounting. May be a CPA.
High School Educator - A high school educator or counselor at a Michigan high school.
Student - Students in an accredited college or university.

General Information

First Name:*

Middle Name or Initial:

Last Name:*

Suffix (Sr., III, etc.):

Nickname:

Date of Birth: (mm/dd/yyyy)

Gender:*	MaleFemaleNo Answer

Ethnic Origin:

Home Address Information

Address:*

PO Box:

City:*

County:
State:*
Zip Code:*

Foreign Country:

Contact Information

Home Phone:* (xxx-xxx-xxxx)

Mobile Phone: (xxx-xxx-xxxx)

E-mail:*

Send all mail to my:*	HomeOffice

Membership Terms & Conditions

I AGREE with the Membership Terms & Conditions*

To the best of my knowledge and belief, the information contained herein is true and correct. By completing this application I agree that if I become a member of the Michigan Association of Certified Public Accountants (MACPA) I will be bound by its Bylaws and the AICPA Code of Professional Conduct.

Join

Membership Application: Step 1 of 4

Member Classification

General Information

First Name:*

Middle Name or Initial:

Last Name:*

Suffix (Sr., III, etc.):

Nickname:

Date of Birth:
(mm/dd/yyyy)

Gender:*

Ethnic Origin:

Home Address Information

Address:*

PO Box:

City:*

County:

State:*

Zip Code:*

Foreign Country:

Contact Information

Home Phone:*
(xxx-xxx-xxxx)

Mobile Phone:
(xxx-xxx-xxxx)

E-mail:*

Send all mail to my:*

Membership Terms & Conditions

Join

Membership Application: Step 1 of 4

Member Classification

General Information

First Name:*

Middle Name or Initial:

Last Name:*

Suffix (Sr., III, etc.):

Nickname:

Date of Birth:(mm/dd/yyyy)

Gender:*

Ethnic Origin:

Home Address Information

Address:*

PO Box:

City:*

County:

State:*

Zip Code:*

Foreign Country:

Contact Information

Home Phone:* (xxx-xxx-xxxx)

Mobile Phone: (xxx-xxx-xxxx)

E-mail:*

Send all mail to my:*

Membership Terms & Conditions

Date of Birth:
(mm/dd/yyyy)

Home Phone:*
(xxx-xxx-xxxx)

Mobile Phone:
(xxx-xxx-xxxx)