The Dallas CPA Society needs your help! Please help plan and implement the activities of your premier professional association by serving on a committee. To select a committee on which to serve, please select and rank your preferences below. Current committee members must complete this form to continue their committee participation. Committee meetings will commence soon for the 2011-2012 fiscal year. Thank You!

First Name:
Last Name:
Cert. Number:
Firm/Company:
Area Code + Telephone:	ex: xxx-xxx-xxxx
Fax:	ex: xxx-xxx-xxxx
E-Mail:
Please make your first and second choices for Committees you'd like to be involved with.
First Choice	Choose One Business and Industry Advisory Group CPE Membership Partners in Education Professional Connections Public Affairs Scholarship Sponsorship Young Professionals Group
Second Choice	Choose One Business and Industry Advisory Group CPE Membership Partners in Education Professional Connections Public Affairs Scholarship Sponsorship Young Professionals Group
Below you will see an image with random letters to the left of the field, please type those letters into the field as authentication. These are used to stop spamming of our forms. Be careful to type the same letter exactly.