College Student Membership Application
To become a College Student Member of the KyCPA, simply complete the form below. For more information contact Vicki Blair at vblair@kycpa.org or 502.266.5272. The FIRST year of membership is FREE for NEW members (who have never been a KyCPA student member before). Thereafter, student membership dues are only $35, invoiced annually in September
First Name:
Middle Name:
Last Name:
Suffix
Nick Name:
Birthdate (mm/dd/yyyy):
Gender: Female Male
College or University
Classification Freshman Sophomore Junior Senior Graduate
Personal Campus Address
City, State, Zip
Cell Phone
Home Address
City, State, Zip
Home Phone
Email
Send mail to: Campus Home
Free First Year of Student Membership! The FIRST year of membership is FREE for NEW members (who have never been a KyCPA student member before). Thereafter, student membership dues are only $35, invoiced annually in September.

New member, never a member, membership is FREE for one year

Returning member—student membership fee is $35
Total: $
How did you hear about us?     
Free First Year
I am mailing a check for payment of dues
Credit Card (call KyCPA with your information)
Please invoice me for dues

 Student members will receive communications (mail, e-mail or fax) from the Ky Society of CPAs

Membership will be approved upon receipt of dues payment.

 
Please send your dues payment to:
KyCPA
1735 Alliant Avenue
Louisville, KY 40299-6326
Phone 502.266.5272 Fax 502.261.9512
 
   

 

Kentucky Society of CPAs
1735 Alliant Ave.
Louisville, KY 40299
502.266.5272; 800.292.1754 (in Ky.)