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Membership Application Form for the Greater Nashville Chapter of the American Payroll Association
MEMBERSHIP PERIOD
October 1, 2021 thru September 30, 2022
Membership Fee: $65.00
Early Bird Renewal: $45.00
To Join National APA, click here
Please fill out the form completely.
Once your registration is submitted, you will be directed to our Payments Page.
*
indicates a required field
*
Indicates required field
Date of Application
*
Name
*
First
Last
Address
*
City / State / Zip
*
Contact Phone
*
Company Name
*
Job Title
*
Supervisor Name
*
Supervisor Email Address
*
If a replacement provide the name of the member you are replacing
*
Is Your Membership Owned By Your Company
*
YES
NO
If your membership is owned by your company, please provide your direct supervisor's name and email address. Thank you.
By click yes, you understand that your named company owns this membership and can revoke/replace membership at any time.
Primary Email
*
the PRIMARY Email - this is the email address you want all Chapter Communications sent to.
Secondary Email
*
We recommend providing us with your personal email address for communication continuity purposes.
Birthday MM/DD Only
*
DO NOT give us your YEAR of birth / only the Month & Date example 06/12
Permission to share contact information
*
Yes
No
Are You a member of the National American Payroll Association (APA)?
*
YES
NO
Are you a CURRENT Member of the American Payroll Association? If you are a member of the Greater Nashville Chapter - DOES NOT mean you are a member of the APA - these are two different memberships.
National APA Membership Number (if applicable)
*
this is YOUR APA National membership number and not your GNC ID#
Certifications (list all)
*
If you DO NOT have any Certifications - please enter N/A
Referred By? (if not, type NONE)
*
Payroll System Currently Using (For Future Roundtable Networking Opportunities)
*
Tax System Currently Using (For Future Roundtable Networking Opportunities)
*
GNC Membership ID Number
*
Enter N/A if you are a first time member.
Once you've submitted your application, you'll be directed to the confirmation and payment options page to complete the process.
Membership Type/Fee:
*
Early Bird Membership Renewal: $45.00
New or Renewing after 10/1: $65.00
Replacement for Current Member: No Cost
If you are a Current member and want to renew with the SPECIAL offer ($30) - complete the application and submit payment by Sept 30, 2016. Regular RENEWAL ($40) application and payment must be received by October 31, 2016. All membership applications after that date will all be considered NEW.
I am Interested in being a Chapter Officer:
*
YES, please contact me
NO Thank You
Choose Payment Method
*
Check
PayPal
Do You need a receipt for Reimbursement?
*
YES
NO
Are you willing to Serve as a Volunteer for the Chapter:
*
YES, please contact me
NO Thank You
Submit Membership Application
Home
Membership
Information
Membership Application
Events
Monthly Meeting
>
Virtual Meeting Resources
Certification Training
National Payroll Week
One Day Seminars
Tennessee State Wide Payroll Conference
Resources
CONTACT
>
National APA Website
About
GNC Distribution List
Submit Job Posting
Help Desk
Contact Us
Philanthropy
Payments
Members Only
