The American Payroll Association-
Hawaii Chapter
Membership Renewal

The membership dues for fiscal year July 01, 2006 to June 30, 2007 is $50 for each registered company (including primary member) or individual.  Each additional member for a registered company is $15.00.  Please check one of the boxes below to indicate a company membership or individual membership.

[  ] Company                                             [  ] Individual

 

 

 

Company / Individual:

______________________________________

 $50.00

Primary Member:

______________________________________

 

Address:

______________________________________

 

 

______________________________________

 

Telephone:  _____________________     Fax:  _____________________

 

E-mail address:

 

 

National Membership#:   ___________     Expiration Date: ___________

 

 

 

 

Additional Member(s)

______________________________________

 

 

______________________________________

 

 

______________________________________

 

 

______________________________________

 

 

______________________________________

 

 

______________________________________

 

 

______Additional members @ $15.00 =

$ _________

 

                                                           

 

 

                                          Total Enclosed:                                              

$ _________

Please make your check payable to the “American Payroll Association-Hawaii Chapter” and submit it with this form to:

The American Payroll Association
Hawaii Chapter
c/o David Kaya
Ceridian Employer Services
2828 Paa Street #1010
Honolulu, Hawaii 96819
 

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© 2000-2008. The Hawaii Chapter of the American Payroll Association.  All Rights Reserved.
Last Update: April 08, 2008