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R.I.A.P.A. MEMBERSHIP DUES FORM Print E-mail

R.I.A.P.A. MEMBERSHIP DUES FORM

Dues May, 1, 2010- April 30, 2011                 $ 60.00

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NAME:____________________________________________________
 
ADDRESS:_________________________________________________
 
CITY/TOWN:____________________STATE___________ZIP_______
 
TELEPHONE: ___________________________FAX________________
 
E-MAIL:___________________________________________________
 

P.A. AUTHORITY__________________C.P.A. LICENSE___________

 
Return to:
Robert J, Iadeluca, 747 Pontiac Avenue, Suite 201 , Cranston, RI 02910

 


747 Pontiac Ave., Suite 201 Cranston, RI 02910 Tel: 1-401-461-1887 Fax: 1-401-461-6178


Robert J. Iadeluca
Executive Director
747 Pontiac Ave., Suite 201
Cranston, RI 02910
Tel: 1-401-461-1887
Fax: 1-401-461-6178