Helen Hejna
email: membership@aswa-sf.org
This form cannot be submitted online. Fill out the form online, print the page, then call for fax or mailing information.
New Member Reapplying Member #
Regular/Dual Member dues - $140.00, if you hold a CPA certificate or equivalent; have two or more years experience in accounting; or a Bachelor’s degree.
Affiliate Member dues - $140.00, if you are not actively engaged in accounting; or have a substantial interest in accounting .
Associate Member dues - $50.00 if you are regularly enrolled student; fewer than two years experience in accounting.
Residence Address
Last Name First Name Address City State ZIP Phone FAX EMAIL
Business Address
Firm Name Firm Address City State ZIP Phone FAX EMAIL
Preferred mailing address: Residence Business
Estimated Date of Graduation if in School / / Name of School
Degree Received DATE // MAJOR
Certifications CPA CMA CIA CA CFP CISA EA Other
For CPA, State of Certification DATE //
Field of Accounting: Academia Government Industry Non-Profit Private Public
Job Classification: Audit-Internal Audit-External Budget/Planning Consulting Cost Accounting Financial Analysis
General Accounting Management Accounting Sole Practitioner Systems Accounting Tax Other
Payment amount $Be sure to include both national and chapter dues amounts in your total.
Payment by VISA M/C Card Number Exp. Date
Applicants Signature ________________________________________________
Sponsor’s Signature _________________________________________________
(PRINT NAME) ____________________________________________________
FOR CHAPTER USE: (Make copy of application for chapter files and send original to national headquarters with payment for BOTH national and chapter dues. Applicant will not be considered paid in full unless BOTH national and chapter dues are received.)
CHAPTER NAME _______________________________ CHAPTER NO.___________ BOARD ACTION ___/___/_____
MEMBERSHIP CHAIR’S SIGNATURE ______________________________________________________________________
(PRINT NAME)_________________________________________________________________________________________
ASWA dues are deductible as a business expense, but not as a charitable contribution for federal tax purposes.
National Dues include $35.00 for a one-year subscription to ASWA's The Edge.
