Membership Application

APPLICANT

Member Type:

First Name*:

Middle Name:

Last Name*:

Suffix:

PERSONAL INFORMATION

Home Address*:

City*, State*, Zip*:

Home Country*:

Phone 1*:

Phone 2:

Birthdate*:

Gender*:

Race / Ethnicity*:

COMMUNICATIONS

Primary Email*:

Secondary Email*:

Preferred Mailing Address*:

Home Business

BUSINESS INFORMATION

Title:

Position:

(Choose the one that is the closest match to your position.)

Company Name:

Address Line 1:

Address Line 2:

City, State, Zip:

Country:

Phone:

Direct Phone:

AFFILIATIONS

Are you an AICPA member?

Yes No

Accounting Standards

Agriculture, Forestry, Fishing, and Hunting

Art, Entertainment, and Recreation

Audit and Attest Services

Bankruptcy, Insolvency, and Reorganization

Business Consulting (General)

Corporate Accounting

Corporate Governance

Educational Services

Employee Benefit Plans

Financial Institutions

Financial Planning - Personal

Financial Planning && Analysis

Healthcare Organizations (Hospitals, HMOs, PPOs, Hospice)

Initial Public Offerings (IPOs)

International Business

Mergers and Acquisitions

Mining, Quarrying & Oil and Gas Extraction

Not-for-profit Organizations

Professional Service Firms

Securities and Derivatives

Strategic Business Planning

Supply Chain Management

Tax - Estate, Gift, and Trust

Tax - Flow-through Entities

Tax - Practice and Procedures

Tax - State and Local

Transportation and Warehousing

Treasury and Cash Management

Waste Management and Remediation Services

WEB ACCOUNT INFORMATION

Web User ID*:

Password*:

Confirm Password*:

Password Hint Question*:

Password Hint Answer*:

MEMBERSHIP TERMS & CONDITIONS

Acknowledgement and agreement with Membership Terms & Conditions is required*.

I acknowledge that I have read and agree to abide by Article II Sections 2.9-2.13, Articles VII (Code of Professional Conduct and Joint Enforcement of Ethical Standards with AICPA), IX and XII of the Illinois CPA Society Bylaws (PDF).

Membership Application

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ICPAS (Chicago)

ICPAS (Springfield)