MAAPC New Member Information Form
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Information Form

This information will be included in the membership directory. Please complete this form with the information exactly as you would like it to appear. If you have no input for a particular heading (ie Other Offices or Associations) please leave it blank.

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Please correct the following errors:

Thank you.
Your information was recorded as:

Firm Name: &[g.firmname];
Street Address: &[g.streetaddr];
City, State, Zip: &[g.csz];
Business Phone: &[g.phone];
Fax: &[g.fax];
E-Mail: &[g.email];
Owner: &[g.owner];
Number of Consultants: &[g.numcons];
Other Offices: &[g.otheroffice];
Other Associates: &[g.otherassoc];

Firm Disciplines:


Temporary Disciplines:


We will contact you shortly.

Firm Name: &[g.firmname]; Street Address: &[g.streetaddr]; City, State, Zip: &[g.csz]; Business Phone: &[g.phone]; Fax: &[g.fax]; E-Mail: &[g.email]; Owner: &[g.owner]; Number of Consultants: &[g.numcons]; Other Offices: &[g.otheroffice]; Other Associates: &[g.otherassoc]; Firm Disciplines: ---------------------------------- Temporary Disciplines: ----------------------------------
* Required

Firm Name*


Street Address*


City, State, Zip*


Business Phone*


Fax


E-Mail


Owner*


Number of Consultants


Other Offices


Other Associates



In addition to the above, the Directory contains a separate section in which member firms are listed under specific disciplines. Please check the disciplines under which you want your firm listed.

Firm Disciplines (select one or more):
Accounting/Bookeeping
Insurance
Admin Support/Clerical
Legal
Banking/Finance
Marketing/Sales
Chemical/Environmental
Medical/Health Care
Information Technology
Scientific
Human Resources
Tech/Engineering/Manuf
Full Service Firm
Telecommunications
Temporary Help Service (also select from the following):
     Accounting
     Business Services
     Call Center/Telemarketing
     Legal
     Light Industrial
     Medical
     Technical/Engineering

By clicking submit below I agree on behalf of my company, as a member of MAAPC, to abide by the MAAPC Standards of Business Practices, the MAAPC Network Rules and Regulations, and the MAAPC Bylaws.

I understand that I will receive an invoice for my MAAPC Membership Fee, $150.00 for the principal location and $50.00 for each Satellite office, and agree to pay said invoice.