Please type in personal information		
Name (Last, First)	 	
CPP or FPC?	 	
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Annual Membership up to February 15, 2015 - $40	 	
Annual Membership February 16, 2015 to December 31,2015 - $45	 	
Refer a member for a $10 discount (Please submit both payments & membership forms on the same date with a note in PayPal regarding the referral discount)		
Type Name of  New Member being Referred:  	 	
All 2015 Membership Payments must be made via pay pal.                                                         There are 3 payment options: Credit, Debit & Bill Me Later Invoicing. 		
Go to:          http://www.apanewyorkmetro.com Click Join or Pay Dues		

IMPORTANT: To receive your Membership Card, Please send completed application in word doc format to: nymetroapa@gmail.com 		
Type  Date of email submission  (MM/DD/YYYY)	 	
Are you a National APA Member? If so please provide Member ID#	 	
If you are not a National APA Member, Please visit their website.                                                                Financial Assistance is available.      http://www.americanpayroll.org/ 		

Sharon Cook, CPP - President & Educational Director                                Michael Heredia, CPP - Vice President & Co-Treasurer    Sharon Richardson, CPP – Website & Study Group Co-Chair Co-Treasurer                Amy Yee - Website & Study Group Co-Chair
Beverly Massey, CPP - Secretary, Membership & Meeting Coordinator Chair           	Judith Thomson, CPP - Government Liaison