Manasota Chapter of
Florida Society of Enrolled Agents
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c/o: Ben Cooper, Treasurer
11441 Perico Isle Circle
Bradenton, Fl 34209
941-795-7048
941-795-4878 Fax
benacooper@aol.com
Manasota Chapter FSEA
Annual Dues
07/01/2009 - 06/30/2010
Name:_________________________________
Phone:__________________________
Office Address:
________________________________________________________________
Mailing Address:
________________________________________________________________
Fax #: _____________________ Email Address________________________
IF YOU ARE
AN EA, YOU MUST BE A MEMBER OF NAEA & FSEA.
Are You:
EA_________
EA#_______________
CPA________ CPA# ________
Unlicensed Tax Preparer _________ Other Financial Services _________
Member of :
NAEA:
Yes_______ No________ NAEA #:
________________
All questions must be answered and a copy of this
invoice needs to be returned with your check. Payment is due no later than
July 31, 2009, so bookkeeping can be completed.
Return address is in the upper right hand corner.
Before sending in your application, please check
the website at www.floridaenrolledagents.com to see if your information is
correct!
If you would like a link to your web site (on the
members page) there will be additional fees involved ($ amount to be
announced).