National Association of Enrolled AgentsApplication
I am applying for:___ Regular Membership (EA # required; membership in state and national required)
___ Associate Status
Name: ______
Firm: ______
Street Address: ______
City, ST Zip: ______
Business Phone: ______Fax: ______
Email: ______
IRS Enrollment Number (if applicable):______PTIN Number:______
National Dues: Membership renews on an anniversary basis. NAEA bylaws require 30 hours of CPE per calendar year, including 2 hours of Ethics. CPE requirements for new members will be pro-rated, 2 hours for each month of membership during the calendar year with at least 2 hours of Ethics. CPE is reported at the time of renewal.
Affiliate Society Dues: If your practice is located in a state listed below, the amount of your Affiliate Society dues is noted. Enrolled Agents must maintain membership in both national and state associations. For information on joining a second state affiliate, please contact NAEA. *Second dues rate listed is for Associates.
___ Alabama Society of Enrolled Agents (AL)...... $25
___Alaska Society of Enrolled Agents (AK)...... $0
___ Arizona Society of Enrolled Agents (AZ)...... $50
___ Arkansas Society of Enrolled Agents (AR)...... $30
___*California Society of Enrolled Agents (CA)...... $170/$119
___ Colorado Society of Enrolled Agents (CO)...... $35
___ Connecticut Society of Enrolled Agents (CT).....$40
___ Florida Society of Enrolled Agents (FL)...... $60
___ Georgia Association of Enrolled Agents (GA)....$55
___ Hawaii Society of Enrolled Agents (HI)...... $40
___ Illinois Society of Enrolled Agents (IL)...... $55
___ Indiana Society of Enrolled Agents (IN)...... $40
___ Iowa Society of Enrolled Agents (IA)...... $25
___ Kentucky Society of Enrolled Agents (KY)...... $25
___ Louisiana Society of Enrolled Agents (LA)...... $30
___ Maryland/DC Society of Enrolled Agents (MD/DC).$35
___ Massachusetts Society of Enrolled Agents (MA)..$50
___ Michigan Society of Enrolled Agents (MI)...... $35
___ Minnesota Society of Enrolled Agents (MN)...... $45
___ Mississippi Society of Enrolled Agents (MS).....$30
Application Fee...... $ 28.00
National Dues...... $185.00
Affiliate Society Dues...... ______
Total Submitted...... ______
Check Visa/Mastercard/Amex/DC Cash
CC #: ______Exp:______
Name on Card:______
___ Missouri Society of Enrolled Agents (MO)...... $25
___ Nevada Society of Enrolled Agents (NV)...... $75
___ New Jersey Society of Enrolled Agents (NJ)...... $35
___ New Mexico Society of Enrolled Agents (NM)...... $30
___ New York State Society of Enrolled Agents (NY)....$55
___ North Carolina Society of Enrolled Agents (NC).....$30
___ Northern New England (ME/NH/VT)...... $25
___ Ohio State Society of Enrolled Agents (OH)...... $60
___ Oklahoma Society of Enrolled Agents (OK)...... $50
___ Oregon Society of Enrolled Agents (OR)...... $35
___ Pennsylvania Society of Enrolled Agents (PA)...... $50
___ Rhode Island Society of Enrolled Agents (RI)...... $30
___*South Carolina Society of Enrolled Agents (SC)....$35/$50
___ Tennessee Society of Enrolled Agents (TN)...... $30
___ Texas Society of Enrolled Agents (TX)...... $50
___ Utah Society of Enrolled Agents (UT)...... $40
___ Virginia Society of Enrolled Agents (VA)...... $65/75
___Washington Society of Enrolled Agents (WA)...... $65
___*Wisconsin Society of Enrolled Agents (WI)...... $45/$25
Return to:
National Association of Enrolled Agents
1120 Connecticut Avenue NW, Suite 460
Washington, DC20036-3953
202-822-NAEA (6232); 202-822-6270 fax
Benefits and requirements of membership are outlined
in the NAEA Bylaws. I understand these requirements, and
that this membership may be terminated by me at any
time, or by the Association or Society, according to the circumstances outlined in the Association’s Bylaws.
______
Signature and Date