* Please see note at bottom of page *

* Required Fields

Personal Information

* First Name:
MI:
* Last Name:
Gender:
(As you would like it to appear on your SDCPAS record)
Nickname:

Current Contact Information

* Street Address:

select
P. O. Box:
* City:
* State:
select
* Zip Code:
* Preferred Email:

Education Information

* Student Status:
* College/University/Community College:
* Anticipated Month & Year of Graduation:
* Major:

Please Select a Payment Method



  Visa MasterCard Discover

  Check

Total Amount Due:

$25.00

Credit Card Payment Details


* Cardholder's First and Last Names:
* Credit Card Type and Number:
select
* Expiration Date:
select
select
* Security Code:
* Street Address:
* ZIP Code / State:
select
NOTE: Student affiliates pay a $25 first-time application fee. Affiliation is valid for consecutive annual years (June 1 - May 31) until graduation or no longer taking an accounting course. Student affiliates must confirm student status annually in May to retain free affiliation.