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2. Address

3. Qualifications

4. Position

5. Interests

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Before you begin: Here's a list of information you'll need to complete the application. Completing the application should take only 5 minutes.

CPA membership
Student membership
Associate membership

Reinstate membership
Nonresident membership

(You must live and work
outside of Minnesota)

First name*:
M.I.*:
Last name*:
Former name:
Nickname:
Date of birth*:	(e.g., 01/01/04)
Gender*:	Male Female
Minority group: Why we ask this
Name as you'd like it to appear on your MNCPA membership certificate:

Minnesota Society of CPAs: 1650 West 82nd Street, Suite 600; Bloomington, MN 55431; » Map & directions

Call Us: 952-831-2707; 1-800-331-4288
(toll free from MN, IA, SD, ND, and WI); » Contact Us

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