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Gateway Association of Payroll Professionals
POST OFFICE BOX 410556
St. Louis MO 63141
email me
Dawayne Stewart

Gateway Association of Payroll Professionals 2010 Application for Membership/Renewal
Post Office Box 410556 St. Louis, MO 63141

WWW.GATEWAYPAYROLL.ORG

Are you a first time member?* True
False

Are you a renewal applicant?* True
False

Name*

Job Title*

Company Name

Business Address*

Business City, State & Zip*

Business Phone*

Home/Cell Phone*

Business Fax*

E-mail Address*

Are you a CPP? True
False

Are you a FPC? True
False

List other Certifications

Are you a current APA member?* True
False

Are you a current member of any other professional organization(s)?*

Current Payroll Software/Provider

Current Timekeeping Software

Any Comments?

Enter the number below to submit your information.
8461
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All required fields are colored.

" All Required Information has an asterick next to it"

The above is true to the best of my knowledge and I apply for membership or renewal of membership to share my knowledge and experience with other members, networking their knowledge and understanding of payroll in the Gateway Area. By signing below I understand that my membership is non-transferable and agree that I will not use the Gateway Association of Payroll Professionals as a forum to promote any personal interests for monetary gain. A check for my dues ($50.00 if dues received by 12/31/09; $65.00 for membership dues if recieved after 01/01/10) is enclosed with this application and will be sent to the Post Office Box listed above.