Member Registration FormMember Registration FormRM_StatsFirm InformationFirm Contact Email Address *Firm Name *Firm Address *City/State/ZIP *Firm Contact Phone Number *Mailing AddressCity/State/ZIP Owner InformationAre all Firm Owners/Partners CPAs? Yes No List all CPA Firm Owners/PartnersList all Non-CPA Firm Owners/ Partners License InformationList all current and valid CPA Licenses held by the firm (State & year issued)Has your firm ever been subject to discipline from the accountancy board of any state? If yes, please explain: Services ProvidedWhat services does your firm provide to clients? Bookkeeping Accounting Services Compilations Reviews Audit Services Tax Preparation Management Consulting Other Other Apps and ServicesSelect the apps and services that will improve your firm's efficiency and profitability.Tier 1 ( includes: Cloud Based Client Portal ) Tier 1 ………………………………… $100/mo Tier 2 ( includes Cloud Based Client Portal, Microsoft Office Subscription ) Tier 2 ………………………………… $125/mo Tier 2 Extras Audit Practice Aids …………………………….…………. $150/mo Cloud Based Employee Network ……………..……....... $50/mo Drake Tax Software ……………………………………….. $125/mo Tier 3 ( includes: Cloud Based Client Portal, Microsoft Office Subscription, Cloud Based Project Management ) Tier 3 ………………………….…….. $575/mo Tier 3 Extras Audit Practice Aids …………………………….…………. $150/mo Cloud Based Employee Network ……………..……....... $50/mo Drake Tax Software ……………………………………….. $125/mo Total ($) Summary Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
